Granger Eye Studio

LBN: Advanced Eyecare, Llc
Granger Eye Studio is an health care organization with primary practice located at 107 Centre Sarcelle Blvd. Suite 704, Youngsville LA 70592. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Advanced Eyecare, Llc can be contacted via phone (337) 451-4511, or through Granger, Gary J via phone (337) 451-4511.

Contact Information

Primary practice address
107 Centre Sarcelle Blvd. Suite 704 Youngsville LA 70592
Phone: (337) 451-4511
Fax: (337) 857-6044
Website:
Map and Directions
Authorized official contact:
Name: Granger, Gary J Doctor of Optometry (OD)
Phone: (337) 451-4511

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 1611-644T Louisiana

Profile Details

NPI number 1043645666
LBN Legal business name Advanced Eyecare, Llc
DBA Doing business as Granger Eye Studio
Authorized official Granger, Gary J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2013
Last updated Dec 16th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043645666 NPPES
Louisiana MEDICAID 2167626

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