Provider Demographics
NPI:1003803206
Name:AVINER, ZVI (MD)
Entity Type:Individual
Prefix:
First Name:ZVI
Middle Name:
Last Name:AVINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4313 I 49 S SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-0755
Mailing Address - Country:US
Mailing Address - Phone:337-942-2024
Mailing Address - Fax:337-948-6216
Practice Address - Street 1:4313 I 49 S SERVICE RD
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-0755
Practice Address - Country:US
Practice Address - Phone:337-942-2024
Practice Address - Fax:337-948-6216
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA04266R207W00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1549096Medicaid
LAB60356Medicare UPIN
LA1549096Medicaid