Provider Demographics
NPI:1366500027
Name:HAIK & TERRELL LLC
Entity Type:Organization
Organization Name:HAIK & TERRELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:SONGY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-833-2532
Mailing Address - Street 1:2800 VETERANS BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6176
Mailing Address - Country:US
Mailing Address - Phone:504-833-2532
Mailing Address - Fax:504-833-9232
Practice Address - Street 1:2800 VETERANS BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-6176
Practice Address - Country:US
Practice Address - Phone:504-833-2532
Practice Address - Fax:504-833-9232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18190845207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE4771OtherRR MEDICARE
LA1448010Medicaid
LA1448010Medicaid
DE4771OtherRR MEDICARE