Healthcare Provider Details

I. General information

NPI: 1336221175
Provider Name (Legal Business Name): JOSEPH GUARNIERI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MEDICAL CENTER BLVD SUITE N-213
MARRERO LA
70072-3151
US

IV. Provider business mailing address

1111 MEDICAL CENTER BLVD SUITE N-213
MARRERO LA
70072-3151
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-6213
  • Fax: 504-328-1680
Mailing address:
  • Phone: 504-349-6213
  • Fax: 504-328-1680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH GUARNIERI
Title or Position: OWNER
Credential: M.D.
Phone: 504-349-6213