Wk Pediatric Eye Specialists

LBN: Wk Pediatric Eye Specialists
Wk Pediatric Eye Specialists is an health care organization with primary practice located at 1202 Louisiana Ave , Shreveport LA 71101-3910. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Wk Pediatric Eye Specialists can be contacted via phone (318) 212-8946, or through Gavin, Greg J. via phone (318) 212-4232.

Contact Information

Primary practice address
1202 Louisiana Ave Shreveport LA 71101-3910
Phone: (318) 212-8946
Fax: (318) 212-4153
Website:
Map and Directions
Authorized official contact:
Name: Gavin, Greg J.
Phone: (318) 212-4232

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1548408628
LBN Legal business name Wk Pediatric Eye Specialists
DBA Doing business as
Authorized official Gavin, Greg J.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2009
Last updated Jun 11th, 2012 - about 13 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 1548408628 NPPES
Louisiana MEDICAID 1371815

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