Provider Demographics
NPI:1679530711
Name:SOILEAU, HOSEA JOSEPH JR (BS, OD)
Entity Type:Individual
Prefix:
First Name:HOSEA
Middle Name:JOSEPH
Last Name:SOILEAU
Suffix:JR
Gender:M
Credentials:BS, OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 W COTTON ST
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-4543
Mailing Address - Country:US
Mailing Address - Phone:337-363-7200
Mailing Address - Fax:337-363-4827
Practice Address - Street 1:221 W COTTON ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4543
Practice Address - Country:US
Practice Address - Phone:337-363-7200
Practice Address - Fax:337-363-4827
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA853009T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1197599Medicaid
LAT69506Medicare UPIN
LA47998CV32Medicare PIN
LA1197599Medicaid