DR. GARY J. GRANGER (NPI# 1922386564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922386564 |
| Entity Type | Individual |
| Full Name | DR. GARY J. GRANGER |
| Credential | O.D. |
| Practice Address |
107 Centre Sarcelle Blvd. Suite 704 Youngsville LA 70592-6193 |
| Practice Telephone | 3374514511 |
| Practice Fax Number | 3378576044 |
| Mailing Telephone | 3374514511 |
| Mailing Fax Number | 3378576044 |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1611-644T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2167626 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275661712 | Gary R. Granger | Dentist | 4351 S Hulen St, Fort Worth, TX 76109-4917 | 2007-02-28 |
| Street Address |
107 CENTRE SARCELLE BLVD. SUITE 704 |
| City | YOUNGSVILLE |
| State | LA |
| Zip Code | 70592-6193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043645666 | Advanced Eyecare, LLC | Clinic/Center | 107 Centre Sarcelle Blvd., Suite 704, Youngsville, LA 70592 | 2013-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796844 | Tanisha Daniele Middleton | Behavior Technician | 209 Centre Scarcelle Boulevard, 201, Youngsville, LA 70592 | 2019-12-04 |
| 1578023800 | Youngsville Eye Clinic LLC | Optometrist | 2818 Bonin Rd, Youngsville, LA 70592 | 2019-03-22 |
| 1942727763 | Katherine Broussard Juneau | Social Worker | 317 Nora Broussard Rd, Youngsville, LA 70592 | 2017-08-23 |
| 1538694773 | Luciana Girouard | Behavior Technician | 209 Centre Sarcelle Blvd Ste 201, Youngsville, LA 70592 | 2017-04-25 |
| 1922557750 | Whispering Oaks Lodge LLC | Substance Abuse Rehabilitation Facility | 617 Piat Road, Youngsville, LA 70592 | 2016-09-21 |
| 1811362528 | Lauren Stone | Physical Therapist | 100 Holstien Ln, Youngsville, LA 70592 | 2015-12-07 |
| 1356671374 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2910 E. Milton Ave, Youngsville, LA 70592 | 2010-01-14 |
| 1376778464 | Anne Marie Biro | Physical Therapy Assistant | 170 Atlas Road, Youngsville, LA 70592 | 2009-05-19 |
| 1457593618 | Fallon Strother Mcmanus | Family Medicine | 103 Centre Sarcelle Blvd, Suite 506, Youngsville, LA 70592 | 2009-04-01 |
| 1346497146 | Cashway Pharmacy of Youngsville | Pharmacist | 810 S. Saint Blaise Lane, Suite A, Youngsville, LA 70592 | 2008-08-22 |
| Find all providers in zip 70592 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023800 | Youngsville Eye Clinic LLC | Optometrist | 2818 Bonin Rd, Youngsville, LA 70592 | 2019-03-22 |
| 1578607958 | Lanette Green | Optometrist | 103 Bronze Palm Way, Youngsville, LA 70592-6648 | 2007-02-17 |
| 1821335522 | Preston Currier | Optometrist | 327 Iberia St, Youngsville, LA 70592-5738 | 2013-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261309 | Benjamin Hieu Vu | Optometrist | 5615b Jackson St, Alexandria, LA 71303-2275 | 2020-10-05 |
| 1972110401 | Dr. Glenn M Coullard | Optometrist | 11937 Ferdinand Street, Saint Francisville, LA 70775-4342 | 2020-09-29 |
| 1811513898 | Sagar Raman Desai | Optometrist | 2300 Hospital Dr Ste 140, Bossier City, LA 71111-2193 | 2020-06-24 |
| 1215553664 | Katherine Mae Casadaban | Optometrist | 1939 Hickory Ave Ste 101, Harahan, LA 70123-5609 | 2020-06-22 |
| 1629694310 | Anna Fuller | Optometrist | 116 Killgore Rd Ste 1, Ruston, LA 71270-7090 | 2020-06-18 |
| 1366072423 | Clarity Eye Care LLC | Optometrist | 925 E Judge Perez Dr Ste 1, Chalmette, LA 70043-5376 | 2020-01-17 |
| 1306484290 | Dr. Patrick Fontenot Od, LLC | Optometrist | 525 N. Cities Service Hwy Walmart Vision Center, Sulphur, LA 70663-4107 | 2019-12-11 |
| 1902456296 | Leah Elizabeth Heitmeier | Optometrist | 91 Westbank Expy Ste 510, Gretna, LA 70053-3615 | 2019-09-18 |
| 1629626437 | Daniel & Max LLC | Optometrist | 1677 Gause Blvd # 2, Slidell, LA 70458-2209 | 2019-08-27 |
| 1598311193 | Lauren Agnew | Optometrist | 3601 Highway 190 Ste B, Mandeville, LA 70471-8632 | 2019-08-11 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSVILLE |
| Zip Code | 70592 |
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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.