Provider Demographics
NPI:1437329034
Name:4 YOUR EYES, LLC
Entity Type:Organization
Organization Name:4 YOUR EYES, LLC
Other - Org Name:EYECARE2020
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTAROBERTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-624-5058
Mailing Address - Street 1:3221 N CAUSEWAY BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002
Mailing Address - Country:US
Mailing Address - Phone:504-737-3456
Mailing Address - Fax:504-738-3456
Practice Address - Street 1:3221 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002
Practice Address - Country:US
Practice Address - Phone:504-737-3456
Practice Address - Fax:504-738-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL10157R207W00000X
207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DC94Medicare PIN
LA5A958Medicare UPIN