Provider Demographics
NPI:1780655258
Name:GERMER, BRUCE ACHILLES (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:ACHILLES
Last Name:GERMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:811 BURGUNDY ST
Mailing Address - Street 2:NEW ORLEANS
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-3061
Mailing Address - Country:US
Mailing Address - Phone:504-523-2559
Mailing Address - Fax:504-887-9098
Practice Address - Street 1:3530 HOUMA BLVD
Practice Address - Street 2:STE 203
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4202
Practice Address - Country:US
Practice Address - Phone:504-455-1816
Practice Address - Fax:504-887-9098
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2016-11-04
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Provider Licenses
StateLicense IDTaxonomies
LA06635R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0112795Medicaid
LA1387312Medicaid
LA55335Medicare PIN
MS0112795Medicaid
LA180040503Medicare PIN
LAC78949Medicare UPIN