Healthcare Provider Details

I. General information

NPI: 1942694781
Provider Name (Legal Business Name): RICHARD EYE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2015
Last Update Date: 03/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 S 10TH ST
EUNICE LA
70535-4417
US

IV. Provider business mailing address

141 S 10TH ST
EUNICE LA
70535-4417
US

V. Phone/Fax

Practice location:
  • Phone: 337-224-7951
  • Fax:
Mailing address:
  • Phone: 337-224-7951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License NumberMD.207614
License Number StateLA

VIII. Authorized Official

Name: DR. GREGORY ALLEN RICHARD
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 337-224-7951