Provider Demographics
NPI:1043360316
Name:GEIER, ROBERT J (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:GEIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 69
Mailing Address - Street 2:
Mailing Address - City:NEWROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760
Mailing Address - Country:US
Mailing Address - Phone:225-638-4428
Mailing Address - Fax:
Practice Address - Street 1:250 HOSPITAL ROAD
Practice Address - Street 2:
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760
Practice Address - Country:US
Practice Address - Phone:225-638-4428
Practice Address - Fax:225-638-2984
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA72-0977214152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0697760001OtherHUMANA
LA0697760001OtherRESERVENATIONAL
LA0697760001OtherUNITEDHRALTHCARE
LA1331121Medicaid
LA21304OtherBLUECROSS
LA0697760001OtherCIGNA GOVERNTMENT SERVICE
LA0697760001OtherUNITEDHEALTHCARE
LA0697760001OtherSTATEGROUP BENEFITS
LA0697760001OtherAETNA
LA0697760001OtherPHYSCIANS MUTUAL
LA0697760001OtherCOVENTRY
LA0697760001OtherAETNA
LA0697760001OtherCOVENTRY
LA0697760001OtherRESERVENATIONAL