Provider Demographics
NPI:1932349602
Name:CAN, INC.
Entity Type:Organization
Organization Name:CAN, INC.
Other - Org Name:ALL CARE EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:NASSAUER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-732-4900
Mailing Address - Street 1:601 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3909
Mailing Address - Country:US
Mailing Address - Phone:985-732-4900
Mailing Address - Fax:
Practice Address - Street 1:601 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3909
Practice Address - Country:US
Practice Address - Phone:985-732-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA919183T261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1380873Medicaid
LA5C429Medicare PIN
LA1380873Medicaid