Provider Demographics
NPI:1114156437
Name:LABBE EYE CLINIC INC.
Entity Type:Organization
Organization Name:LABBE EYE CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:LABBE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-345-2026
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-0007
Mailing Address - Country:US
Mailing Address - Phone:985-345-2026
Mailing Address - Fax:985-345-2086
Practice Address - Street 1:907 W THOMAS ST
Practice Address - Street 2:SUITE B
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-3037
Practice Address - Country:US
Practice Address - Phone:985-345-2026
Practice Address - Fax:985-345-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-08
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1011-233T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1907561Medicaid
4B003Medicare UPIN