Healthcare Provider Details

I. General information

NPI: 1154627586
Provider Name (Legal Business Name): HEALTH TRANSFORMATIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2011
Last Update Date: 02/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 W 15TH AVE
COVINGTON LA
70433-2416
US

IV. Provider business mailing address

706 W 15TH AVE
COVINGTON LA
70433-2416
US

V. Phone/Fax

Practice location:
  • Phone: 985-892-1110
  • Fax:
Mailing address:
  • Phone: 985-892-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1057-267T
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY S SILBERNAGEL
Title or Position: OWNER
Credential: OD
Phone: 985-892-1110