Organization · NPI-2
Easycarewellnessanddentistry LLC
Ophthalmology · Kenner, LA
NPI number1104376714
StatusActive
Last updated in NPPESOct 6, 2016
Details
- NPI
- 1104376714
- Entity type
- Organization (NPI-2)
- Legal business name
- Easycarewellnessanddentistry LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2016
- Last updated
- Oct 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | 207W00000X | – | Yes |
| 122300000X | Dentist | 122300000X | – | |
| 156FX1100X | Technician/Technologist, Ophthalmic | 156FX1100X | – | |
| 207R00000X | Internal Medicine | 207R00000X | – |
Practice location
2145 Rev. Richard Wilson DrKenner, LA 70062
Phone 504-258-8870
Mailing address
5138 Marigny StNew Orleans, LA 70122-5118
Phone 504-258-8870
Authorized official
Johnny Mclaughlin
Manager
5042588870
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