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MICHAEL A HOLY A PROFESSIONAL MEDICAL CORPORATION NPI 1790726693


NPI Information

NPI: 1790726693
Provider Name: MICHAEL A HOLY A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: MICHAEL A HOLY MD

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1801 FAIRFIELD AVE
SUITE 101
SHREVEPORT, LA
ZIP 71101
Phone: (318) 424-1617
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MICHAEL A HOLY A PROFESSIONAL MEDICAL CORPORATION 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. MICHAEL A HOLY A PROFESSIONAL MEDICAL CORPORATION NPI is 1790726693. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Michael A Holy Md.

The provider's business location address is:

1801 FAIRFIELD AVE
SUITE 101
SHREVEPORT, LA
ZIP 71101-443
Phone: (318) 424-1617
Fax: (318) 424-1610

The provider's authorized official is Michael Adrian Holy .
The authorized official title is President and has the following contact phone number (318) 424-1617.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 2/28/2008.


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
1207W00000XOphthalmology03517RLOUISIANAYes

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
15BD28MEDICARE PINLOUISIANA
200W566MEDICARE PINTEXAS
31142239MEDICAIDLOUISIANA

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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