Provider Demographics
NPI:1740382316
Name:CAIN, LOUIS RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:RAY
Last Name:CAIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2828 HIGHWAY 31 S
Mailing Address - Street 2:SUITE 116
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1510
Mailing Address - Country:US
Mailing Address - Phone:256-355-1726
Mailing Address - Fax:256-355-0474
Practice Address - Street 1:2828 HIGHWAY 31 S
Practice Address - Street 2:SUITE 116
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1510
Practice Address - Country:US
Practice Address - Phone:256-355-1726
Practice Address - Fax:256-355-0474
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00011015207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009917990Medicaid
ALC75130Medicare UPIN
AL009917990Medicaid