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SOUTHERN EYE INSTITUTE LLC NPI 1912980566


NPI Information

NPI: 1912980566
Provider Name: SOUTHERN EYE INSTITUTE LLC

Doing Business As: THE KELLUM EYE CENTER

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
446 CORPORATE DR
HOUMA, LA
ZIP 70360
Phone: (985) 872-5577
Get Directions

SOUTHERN EYE INSTITUTE LLC is an ophthalmology in Houma, 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. SOUTHERN EYE INSTITUTE LLC NPI is 1912980566. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Kellum Eye Center.

The provider's business location address is:

446 CORPORATE DR
HOUMA, LA
ZIP 70360
Phone: (985) 872-5577
Fax: (985) 868-4190

The provider's authorized official is Andrea J Kiefer .
The authorized official title is Office Manager and has the following contact phone number (985) 872-5577.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 2/8/2008.


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
1152W00000XOptometrist1412-554TLOUISIANANo
2207W00000XOphthalmology011081LOUISIANANo
3207W00000XOphthalmology022479LOUISIANAYes

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
15C398MEDICARE ID-TYPE UNSPECIFIED
2V00487MEDICARE UPIN
3B60281MEDICARE UPIN
40693130001MEDICARE NSC
51799718MEDICAIDLOUISIANA
6G25189MEDICARE UPIN

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: 11/14/2023

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