Provider Demographics
NPI:1497814412
Name:STEVEN G ZEGAR, OD (APOC)
Entity Type:Organization
Organization Name:STEVEN G ZEGAR, OD (APOC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ZEGAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-641-6464
Mailing Address - Street 1:3088 GAUSE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-4155
Mailing Address - Country:US
Mailing Address - Phone:985-641-6464
Mailing Address - Fax:985-646-2277
Practice Address - Street 1:3088 GAUSE BLVD E
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-4155
Practice Address - Country:US
Practice Address - Phone:985-641-6464
Practice Address - Fax:985-646-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA758-188T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1115010001OtherDURABLE MEDICAL SUPPLIES
LA1940330Medicaid
LA1940330Medicaid
LA57738Medicare ID - Type UnspecifiedCLINIC NUMBER