Provider Demographics
NPI:1497878573
Name:AZAR INSTRUMENTS INC.
Entity Type:Organization
Organization Name:AZAR INSTRUMENTS INC.
Other - Org Name:AZAR EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:IPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-233-5672
Mailing Address - Street 1:514 516 ST LANDRY STREET
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506
Mailing Address - Country:US
Mailing Address - Phone:337-235-7791
Mailing Address - Fax:337-234-8230
Practice Address - Street 1:514 516 ST LANDRY STREET
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506
Practice Address - Country:US
Practice Address - Phone:337-235-7791
Practice Address - Fax:337-234-8230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1796298Medicaid
LA5B107Medicare ID - Type Unspecified