The Kellum Eye Center
LBN: Southern Eye Institute Llc
The Kellum Eye Center is an health care organization with primary practice located at 446 Corporate Dr , Houma LA 70360. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Southern Eye Institute Llc can be contacted via phone (985) 872-5577, or through Kiefer, Andrea J via phone (985) 872-5577.
Contact Information
Primary practice address
446 Corporate Dr
Houma LA 70360
Phone: (985) 872-5577
Fax: (985) 868-4190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1412-554T | Louisiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 022479 | Louisiana |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 011081 | Louisiana |
Profile Details
| NPI number | 1912980566 |
|---|---|
| LBN Legal business name | Southern Eye Institute Llc |
| DBA Doing business as | The Kellum Eye Center |
| Authorized official | Kiefer, Andrea J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Feb 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912980566 | NPPES |
| Louisiana | MEDICAID | 1799718 |
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