Provider Demographics
NPI:1659039816
Name:SONGY FAMILY EYECARE LLC
Entity Type:Organization
Organization Name:SONGY FAMILY EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BROCK
Authorized Official - Middle Name:
Authorized Official - Last Name:SONGY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:504-273-9805
Mailing Address - Street 1:4701 SHERIDAN AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1351
Mailing Address - Country:US
Mailing Address - Phone:504-273-9805
Mailing Address - Fax:
Practice Address - Street 1:10 WADE ST.
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-2044
Practice Address - Country:US
Practice Address - Phone:504-273-9805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty