LOUISIANA RETINA A PROFESSIONAL MEDICAL CORPORATION (NPI# 1235738634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235738634 |
| Entity Type | Organization |
| Organization Name | LOUISIANA RETINA A PROFESSIONAL MEDICAL CORPORATION |
| Practice Address |
303 Veterans Blvd Ste A Denham Springs LA 70726-4723 |
| Practice Telephone | 2252429729 |
| Mailing Telephone | 2252429729 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | JORDAN BURNHAM (OWNER) |
| Authorized Official Telephone | 2252429729 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| Street Address |
303 VETERANS BLVD STE A |
| City | DENHAM SPRINGS |
| State | LA |
| Zip Code | 70726-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780162966 | Ikeia Beauty | Counselor | 303 Veterans Blvd Ste A, Denham Springs, LA 70726-4723 | 2018-07-31 |
| 1215493994 | Derxann Morgan | Counselor | 303 Veterans Blvd Ste A, Denham Springs, LA 70726-4723 | 2019-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402433 | Hiv/aids Alliance for Region Two, Inc. | Clinic/Center | 30789 N Range Avenue, Denham Springs, LA 70726 | 2020-09-18 |
| 1306456231 | Jinci Strahan | Registered Nurse | 24495 La-16, Denham Springs, LA 70726 | 2020-08-05 |
| 1568085058 | Bailey Brumley | Case Manager/Care Coordinator | 106 Business Park Ave, Denham Springs, LA 70726 | 2020-05-19 |
| 1518527977 | Papa's Farmacia Via Luzianna LLC | Pharmacy | 25831 Walker South Rd Ste 1, Denham Springs, LA 70726 | 2019-06-18 |
| 1265995807 | Michael Jacob Efferson | Counselor | 303 Veteran Blvd, Denham Springs, LA 70726 | 2019-04-10 |
| 1477031524 | Melissa Sepeda | Social Worker | 1110 South Range Ave, Denham Springs, LA 70726 | 2018-07-31 |
| 1215420633 | Tiffany Summers | Counselor | 30826 Linder Road, Denham Springs, LA 70726 | 2018-06-11 |
| 1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
| 1780130369 | Bonnie Pettyjohn | Counselor | 25560 Oak Hill Rd, Denham Springs, LA 70726 | 2016-09-01 |
| 1053769794 | Southeast Community Health Systems | Clinic/Center | 25753 Walker Road South, Denham Springs, LA 70726 | 2016-06-02 |
| Find all providers in zip 70726 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184116204 | Benjamin Guidry Md, LLC | Ophthalmology | 4720 S I 10 Service Rd W Ste 410, Metairie, LA 70001 | 2018-06-04 |
| 1558380303 | Charles Eliot Lyon | Ophthalmology | 836 Olive St, Shreveport, LA 71104-2102 | 2006-07-19 |
| 1942244389 | David Hongwei Ren | Ophthalmology | 7330 Fern Ave, Shreveport, LA 71105-4938 | 2006-06-16 |
| 1528067592 | Gitter and Cohen L L C | Ophthalmology | 4315 Houma Blvd Ste 201, Metairie, LA 70006 | 2005-07-20 |
| 1376731844 | John B Saer Md Phd Facs Apmc | Ophthalmology | 3901 Houma Blvd, Suite 310, Metairie, LA 70006-2930 | 2007-10-10 |
| 1699862839 | Kerry M. Brown, M.d. Apmc | Ophthalmology | 204 N Magdalen Sq, Abbeville, LA 70510-4645 | 2006-10-09 |
| 1740219583 | Jasmine R Elison | Ophthalmology | 4224 Houma Blvd, Suite 150, Metairie, LA 70006-2933 | 2006-07-02 |
| 1760424311 | Rachal and Elison LLC | Ophthalmology | 4224 Houma Blvd, Suite 150, Metairie, LA 70006-2933 | 2006-06-11 |
| 1730153537 | William F. Rachal | Ophthalmology | 4224 Houma Blvd, Suite 150, Metairie, LA 70006-2933 | 2006-02-16 |
| 1487625927 | John Boyer Saer | Ophthalmology | 3901 Houma Blvd, Ste 310, Metairie, LA 70006 | 2006-02-01 |
| Find all providers with the same taxonomy | ||||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
Please comment or provide details below to improve the information on LOUISIANA RETINA A PROFESSIONAL MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.