Provider Demographics
NPI:1205249539
Name:OCHSNER EYE, PA
Entity type:Organization
Organization Name:OCHSNER EYE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ISABEL
Authorized Official - Last Name:OCHSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-343-0022
Mailing Address - Street 1:700 MILITARY CUTOFF RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-8380
Mailing Address - Country:US
Mailing Address - Phone:910-343-0022
Mailing Address - Fax:910-343-1770
Practice Address - Street 1:700 MILITARY CUTOFF RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-8380
Practice Address - Country:US
Practice Address - Phone:910-343-0022
Practice Address - Fax:910-343-1770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1205249539Medicaid
NCD749Medicare PIN