Provider Demographics
NPI:1588832919
Name:EUGENE OPPMAN APOC INC
Entity Type:Organization
Organization Name:EUGENE OPPMAN APOC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:G
Authorized Official - Last Name:OPPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-878-1066
Mailing Address - Street 1:PO BOX 10190
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70181-0190
Mailing Address - Country:US
Mailing Address - Phone:985-878-1066
Mailing Address - Fax:504-617-6303
Practice Address - Street 1:312 MARTIN LUTHER KING JR ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:LA
Practice Address - Zip Code:70443-2387
Practice Address - Country:US
Practice Address - Phone:985-878-1066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-19
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1033-109T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1396724639OtherINDIVIDUAL NPI
LA1370771Medicaid
LA57878Medicare PIN