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HIGHLAND CLINIC A PROF MED CORP NPI 1477925063


NPI Information

NPI: 1477925063
Provider Name: HIGHLAND CLINIC, A PROF MED CORP
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
471 ASHLEY RIDGE BLVD
SHREVEPORT, LA
ZIP 71106
Phone: (318) 795-4770
Get Directions

HIGHLAND CLINIC, A PROF MED CORP is an ophthalmology in Shreveport, LA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. HIGHLAND CLINIC, A PROF MED CORP NPI is 1477925063. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

471 ASHLEY RIDGE BLVD
SHREVEPORT, LA
ZIP 71106-229
Phone: (318) 795-4770
Fax: (318) 795-4775

The provider's authorized official is Debbie W. Smith .
The authorized official title is Administrator and has the following contact phone number (318) 798-4598.

The enumeration date for this NPI number is 10/22/2015 and was last updated on 12/8/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11038300MEDICAIDLOUISIANA
256742MEDICARE PINLOUISIANA
30438840002MEDICARE NSCLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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