Provider Demographics
NPI:1972530897
Name:BRINT VISION CENTER INC,.
Entity Type:Organization
Organization Name:BRINT VISION CENTER INC,.
Other - Org Name:BRINT CUSTOM VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:BRINT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-888-2020
Mailing Address - Street 1:4704 VETERANS MEMORIAL BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-5343
Mailing Address - Country:US
Mailing Address - Phone:504-888-2020
Mailing Address - Fax:504-888-2929
Practice Address - Street 1:4704 VETERANS MEMORIAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5343
Practice Address - Country:US
Practice Address - Phone:504-888-2020
Practice Address - Fax:504-888-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1795623Medicaid
LA56744Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER