Provider Demographics
NPI:1083601298
Name:LAHAYE CENTER FOR ADVANCED EYE CARE, APMC
Entity Type:Organization
Organization Name:LAHAYE CENTER FOR ADVANCED EYE CARE, APMC
Other - Org Name:LAHAYE EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:CLAUDE
Authorized Official - Last Name:LAHAYE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-942-2024
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA34261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1940232Medicaid
LA490000919OtherRAILROAD MEDICARE
LACP2684OtherRAILROAD MEDICARE
LA57344Medicare PIN
LA11027Medicare PIN
LA1940232Medicaid