Provider Demographics
NPI:1720138803
Name:UNIVERSITY OPTICAL & CONTACT
Entity Type:Organization
Organization Name:UNIVERSITY OPTICAL & CONTACT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAIK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-861-7820
Mailing Address - Street 1:1407 S CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-2809
Mailing Address - Country:US
Mailing Address - Phone:504-861-7820
Mailing Address - Fax:
Practice Address - Street 1:1407 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-2809
Practice Address - Country:US
Practice Address - Phone:504-861-7820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier