Brian, Clarence Verne

Brian, Clarence Verne is an individual health care provider with primary practice located at 16777 Medical Center Dr , Baton Rouge LA 70816-3254. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brian, Clarence Verne can be contacted via phone (225) 926-7200.

Contact Information

Primary practice address
16777 Medical Center Dr Baton Rouge LA 70816-3254
Fax: (225) 952-8502
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 677-215T Louisiana

Profile Details

NPI number 1154486553
LBN Legal business name Brian, Clarence Verne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154486553 NPPES
Louisiana MEDICAID 1087921

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