BROUSSARD SURGERY INSTITUTE, INC. (NPI# 1649215765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649215765 |
| Entity Type | Organization |
| Organization Name | BROUSSARD SURGERY INSTITUTE, INC. |
| Practice Address |
1250 Pecanland Rd Suite E-1 Monroe LA 71203-7011 |
| Practice Telephone | 3183872015 |
| Practice Fax Number | 3183872097 |
| Mailing Telephone | 3183872015 |
| Mailing Fax Number | 3183872097 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANICA G NELSON (BUSINESS MANAGER) |
| Authorized Official Telephone | 3183872015 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
124 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1925276 | 05 |
| Street Address |
1250 PECANLAND RD SUITE E-1 |
| City | MONROE |
| State | LA |
| Zip Code | 71203-7011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511903 | Gerald Ball Broussard | Ophthalmology | 1250 Pecanland Rd, Suite E-1, Monroe, LA 71203-7011 | 2005-07-13 |
| 1306877659 | Broussard Cataract & Eye Institute | Ophthalmology | 1250 Pecanland Rd, Suite E-1, Monroe, LA 71203-7011 | 2006-07-05 |
| 1790729929 | Broussard Cataract & Eye Institute | Durable Medical Equipment & Medical Supplies | 1250 Pecanland Rd, Suite E-1, Monroe, LA 71203-7011 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878970 | Eye Care & Surgeons of Charlotte, Pllc | Clinic/Center | 602 S Sutherland Ave, Monroe, NC 28112-5063 | 2020-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821250176 | Northshore Ambulatory Surgery Center LLC | Clinic/Center | 17174 S I-12 Service Rd, Hammond, LA 70403 | 2008-06-27 |
| 1821544206 | The Cataract Vision Institute LLC | Clinic/Center | 3850 N Causeway Blvd, Suite 106, Metairie, LA 70002-1752 | 2016-08-26 |
| 1942694781 | Richard Eye Center LLC | Clinic/Center | 141 S 10th St, Eunice, LA 70535-4417 | 2015-03-18 |
| 1114067279 | Eye Laser Institute | Clinic/Center | 4324 Veterans Memorial Blvd, Suite 108, Metairie, LA 70006-5445 | 2007-02-07 |
| 1043300239 | Advanced Vision Group, LLC | Clinic/Center | 3900 Veterans Memorial Blvd, Ste. 100, Metairie, LA 70002-5634 | 2006-10-16 |
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| 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.