Provider Demographics
NPI:1346380557
Name:BATON ROUGE EYE PHYSICIANS
Entity Type:Organization
Organization Name:BATON ROUGE EYE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING
Authorized Official - Prefix:
Authorized Official - First Name:SHILA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-927-0180
Mailing Address - Street 1:PO BOX 66455
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70896
Mailing Address - Country:US
Mailing Address - Phone:225-927-0180
Mailing Address - Fax:225-926-3803
Practice Address - Street 1:4848 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4019
Practice Address - Country:US
Practice Address - Phone:225-927-0180
Practice Address - Fax:225-926-3803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1133485Medicaid