Provider Demographics
NPI:1093851339
Name:PRECISION OPTICAL OF HAMMOND, INC.
Entity Type:Organization
Organization Name:PRECISION OPTICAL OF HAMMOND, INC.
Other - Org Name:THOMAS EYE CARE AND ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE AND BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:C
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-748-8750
Mailing Address - Street 1:420 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-2420
Mailing Address - Country:US
Mailing Address - Phone:985-748-8750
Mailing Address - Fax:
Practice Address - Street 1:420 N 2ND ST
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-2420
Practice Address - Country:US
Practice Address - Phone:985-748-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA977-254T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1351032Medicaid
LAT19480Medicare UPIN
LA0480780001Medicare NSC