Provider Demographics
NPI:1982705075
Name:CAPLAN EYE CLINIC A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:CAPLAN EYE CLINIC A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-888-2600
Mailing Address - Street 1:3409 N HULLEN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3486
Mailing Address - Country:US
Mailing Address - Phone:504-888-2600
Mailing Address - Fax:504-456-9596
Practice Address - Street 1:3409 N HULLEN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3486
Practice Address - Country:US
Practice Address - Phone:504-888-2600
Practice Address - Fax:504-456-9596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1309630Medicaid
LA4432779OtherAETNA
LA4367641210OtherBLUE CROSS
LA1309630Medicaid
LA5B132Medicare PIN