EYELID PLASTIC SURGERY & RECONSTRUCTIVE CENTER, LLC (NPI# 1841410230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841410230 |
| Entity Type | Organization |
| Organization Name | EYELID PLASTIC SURGERY & RECONSTRUCTIVE CENTER, LLC |
| Practice Address |
200 Greenbriar Blvd Suite B Covington LA 70433-7235 |
| Practice Telephone | 9858982001 |
| Practice Fax Number | 9858982909 |
| Mailing Telephone | 9858982001 |
| Mailing Fax Number | 9858982909 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. KYLE V ACOSTA (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 9858982001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 23847 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1443000 | 05 |
| Street Address |
200 GREENBRIAR BLVD SUITE B |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959154 | Kyle Valentino Acosta | Ophthalmology | 200 Greenbriar Blvd, Suite B, Covington, LA 70433-7235 | 2005-08-19 |
| 1053582486 | Kevin M Plaisance M D LLC | Obstetrics & Gynecology | 200 Greenbriar Blvd, Covington, LA 70433-7235 | 2008-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477950269 | Tri-state Centers for Sight, Inc | Ophthalmology | 802 Scott St, Covington, KY 41011-2420 | 2014-11-24 |
| 1487886867 | M Teresa Vives Md LLC | Ophthalmology | 185 Greenbriar Blvd, Covington, LA 70433-7234 | 2009-08-18 |
| 1922254523 | Eagle Eye and Medical Clinic Inc | Ophthalmology | 3138b Highway 278 Nw, Covington, GA 30014-2304 | 2008-08-14 |
| 1740498880 | Wendy Grim Doneyhue | Ophthalmology | 1000 Ochsner Boulevard, Covington, LA 70433 | 2007-05-21 |
| 1114095213 | Tri-state Centers for Sight, Inc. | Ophthalmology | 7 W 7th St, Covington, KY 41011-2301 | 2006-11-30 |
| 1821171661 | Jose Luis Bigles-geigel | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2006-10-23 |
| 1174605372 | Bradley G Jacoby | Ophthalmology | 7170 Highway 278, Ste B, Covington, GA 30014 | 2006-10-19 |
| 1376649939 | Surgical Eye Associates | Ophthalmology | 1120 N Highway 190, Covington, LA 70433-5178 | 2006-09-14 |
| 1174534960 | Satya Vardhan Reddy | Ophthalmology | 128 Lakeview Cir, Covington, LA 70433-7512 | 2006-08-10 |
| 1952349334 | Nazir Ahmad Khawaja | Ophthalmology | 4124 Highway 278 Ne, Covington, GA 30014-2494 | 2006-06-04 |
| Find all providers in COVINGTON | ||||
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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.