Provider Demographics
NPI:1003907767
Name:RONALD S. ASLETT & PHILIP J. KURICA PTR.
Entity Type:Organization
Organization Name:RONALD S. ASLETT & PHILIP J. KURICA PTR.
Other - Org Name:ASLETT KURICA EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-652-6066
Mailing Address - Street 1:370 BELLE TERRE BLVD
Mailing Address - Street 2:
Mailing Address - City:LA PLACE
Mailing Address - State:LA
Mailing Address - Zip Code:70068-2435
Mailing Address - Country:US
Mailing Address - Phone:985-652-6066
Mailing Address - Fax:985-652-6063
Practice Address - Street 1:370 BELLE TERRE BLVD
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-2435
Practice Address - Country:US
Practice Address - Phone:985-652-6066
Practice Address - Fax:985-652-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1795755Medicaid
LA57701Medicare ID - Type Unspecified