M. Dwayne Yeager, Od, Faao, A Professional Organization

LBN: M. Dwayne Yeager, Od, Faao, A Professional Organization
M. Dwayne Yeager, Od, Faao, A Professional Organization is an health care organization with primary practice located at 3805 Cypress St , West Monroe LA 71291-7436. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. M. Dwayne Yeager, Od, Faao, A Professional Organization can be contacted via phone (318) 325-3937, or through Yeager, M Dwayne via phone (318) 325-3937.

Contact Information

Primary practice address
3805 Cypress St West Monroe LA 71291-7436
Fax: (318) 397-9717
Website:
Authorized official contact:
Name: Yeager, M Dwayne Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 1020-199T Louisiana

Profile Details

NPI number 1407156847
LBN Legal business name M. Dwayne Yeager, Od, Faao, A Professional Organization
DBA Doing business as
Authorized official Yeager, M Dwayne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2010
Last updated Dec 9th, 2010 - about 14 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 1407156847 NPPES
Louisiana MEDICAID 1369004

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