Provider Demographics
NPI:1700401791
Name:CONNOR EYE CARE
Entity Type:Organization
Organization Name:CONNOR EYE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER / OPTOMETRST
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-202-5626
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70470-0061
Mailing Address - Country:US
Mailing Address - Phone:985-202-5626
Mailing Address - Fax:985-256-4840
Practice Address - Street 1:2180 N CAUSEWAY BLVD STE 10
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-6503
Practice Address - Country:US
Practice Address - Phone:210-739-4098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty