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NPI Code Detail

MEDICARE: DR. PHILLIP LEO CARNEY JR. O.D.

MEDICARE:  DR. PHILLIP LEO CARNEY JR. O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1096-160TLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306808811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILLIP LEO CARNEY JR. O.D.
Provider Business Mailing Address
First Line : 4300 PARLIAMENT DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2721
Country : US
Telephone Number : 318-448-0221
Fax Number : 318-448-1829
Provider Business Practice Location Address
First Line : 4300 PARLIAMENT DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2721
Country : US
Telephone Number : 318-448-0221
Fax Number : 318-448-1829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2006
Last Update Date : 12/05/2007

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Directions to “ DR. PHILLIP LEO CARNEY JR. O.D.” Practice Location

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