Provider Demographics
NPI:1689172264
Name:PAUL BRADLEY LA POINT SR
Entity Type:Organization
Organization Name:PAUL BRADLEY LA POINT SR
Other - Org Name:LAPOINT EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPOINT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:318-346-7208
Mailing Address - Street 1:1221 NW MAIN ST STE 5
Mailing Address - Street 2:
Mailing Address - City:BUNKIE
Mailing Address - State:LA
Mailing Address - Zip Code:71322-3501
Mailing Address - Country:US
Mailing Address - Phone:318-346-7208
Mailing Address - Fax:
Practice Address - Street 1:1221 NW MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322-3501
Practice Address - Country:US
Practice Address - Phone:318-346-7208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty