Provider Demographics
NPI:1073839577
Name:OMNI EYE CARE CENTER OF NEW ORLEANS
Entity Type:Organization
Organization Name:OMNI EYE CARE CENTER OF NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:HOBBS
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-393-2554
Mailing Address - Street 1:4480 GENERAL DEGAULLE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131
Mailing Address - Country:US
Mailing Address - Phone:504-393-2554
Mailing Address - Fax:
Practice Address - Street 1:4480 GENERAL DEGAULLE
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131
Practice Address - Country:US
Practice Address - Phone:504-393-2554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
1184801268OtherINDIVIDUAL NPI