Provider Demographics
NPI:1154318376
Name:LAHAYE CENTER FOR ADVANCED EYE CARE OF LAFAYETTE, INC.
Entity Type:Organization
Organization Name:LAHAYE CENTER FOR ADVANCED EYE CARE OF LAFAYETTE, INC.
Other - Org Name:
Other - Org Type:
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:337-235-2149
Mailing Address - Street 1:201 RUE IBERVILLE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-8503
Mailing Address - Country:US
Mailing Address - Phone:337-235-2149
Mailing Address - Fax:337-231-4012
Practice Address - Street 1:201 RUE IBERVILLE
Practice Address - Street 2:SUITE 800
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-8503
Practice Address - Country:US
Practice Address - Phone:337-235-2149
Practice Address - Fax:337-231-4012
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
LA59261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACQ2405OtherRAILROAD MEDICARE
LA1942324Medicaid
LA410042829OtherRAILROAD MEDICARE
LACQ2405OtherRAILROAD MEDICARE
LA1942324Medicaid
LA5D270Medicare PIN