DR. GLENN M COULLARD (NPI# 1972110401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972110401 |
| Entity Type | Organization |
| Organization Name | DR. GLENN M COULLARD |
| Practice Address |
11937 Ferdinand Street Saint Francisville LA 70775-4342 |
| Mailing Address |
156 Golden Meadow Dr Covington LA 70433-6604 |
| Practice Telephone | 2256356483 |
| Practice Fax Number | 2256582424 |
| Mailing Telephone | 2259387701 |
| Mailing Fax Number | 2256582424 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Authorized Official Name | BERNADETTE MARIE LOEBS (OFFICE MANAGER) |
| Authorized Official Telephone | 2253245190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
11937 FERDINAND STREET |
| City | SAINT FRANCISVILLE |
| State | LA |
| Zip Code | 70775-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588263099 | Magnolia Wellness, LLC | Social Worker | 5689a Commerce Street, St. Francisville, LA 70775 | 2020-10-26 |
| 1336748128 | Erikka Sund Neal | Social Worker | 5689 Commerce St, Suite A, Saint Francisville, LA 70775 | 2020-10-22 |
| 1598382467 | Mcgraw-edwards Chiropractic LLC. | Chiropractor | 7197 Us Highway 61 Suite E, St. Francisville, LA 70775 | 2020-06-26 |
| 1174148779 | Audubon Urgent Dental | Dentist | 7181 U.S. Hwy 61, Suite 10, Saint Francisville, LA 70775 | 2020-06-10 |
| 1831718691 | Just Health | Clinic/Center | 11651 Ferdinand Street, St. Francisville, LA 70775 | 2020-04-13 |
| 1902368103 | Aaron Priddy | Dentist | 5436 Commerce Street, Saint Francisville, LA 70775 | 2019-04-05 |
| 1396267233 | Angela Landry, Lcsw, LLC | Clinic/Center | 5687 Commerce Street, Suite 7, St. Francisville, LA 70775 | 2017-07-12 |
| 1508393117 | Magnolia Wellness Group, LLC | Community/Behavioral Health | 5687 Commerce, 7, Saint Francisville, LA 70775 | 2017-05-12 |
| 1659807212 | Stephanna Alberty | Physical Therapist | 5877 Commerce, Suite 2, St. Francisville, LA 70775 | 2017-05-02 |
| 1730627779 | Magnolia Wellness | Community/Behavioral Health | 5689 Commerce Street, St. Francisiville, LA 70775 | 2017-02-10 |
| Find all providers in zip 70775 | ||||
| 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 |
|---|---|---|---|---|
| 1588261309 | Benjamin Hieu Vu | Optometrist | 5615b Jackson St, Alexandria, LA 71303-2275 | 2020-10-05 |
| 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 |
| 1679129233 | Hoang Van Tran | Optometrist | 800 W Prien Lake Rd Ste 400, Lake Charles, LA 70601-9124 | 2019-08-09 |
| Find all providers with the same taxonomy | ||||
| City | SAINT FRANCISVILLE |
| Zip Code | 70775 |
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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.