1144690801 NPI number — COMPLETE FAMILY EYE CARE LLC

Table of content: (NPI 1144690801)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144690801 NPI number — COMPLETE FAMILY EYE CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPLETE FAMILY EYE CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144690801
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
22141 ELTON DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JENNINGS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70546-8542
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
339 W PRIEN LAKE RD
Provider Second Line Business Practice Location Address:
SUITE 200 B
Provider Business Practice Location Address City Name:
LAKE CHARLES
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70601-8452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-366-0905
Provider Business Practice Location Address Fax Number:
337-474-1409
Provider Enumeration Date:
10/06/2015

Additional Information

Authorized Official

Authorized Official Last Name:
EASTMAN FAWCETT
Authorized Official First Name:
HANNAH
Authorized Official Middle Name:
Authorized Official Title or Position:
MEMBER/MANAGER/OPTOMETRIST
Authorized Official Telephone Number:
337-660-2628

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  1649-683T , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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