Healthcare Provider Details

I. General information

NPI: 1487625927
Provider Name (Legal Business Name): JOHN BOYER SAER MD FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 12/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 HOUMA BLVD STE 310
METAIRIE LA
70006
US

IV. Provider business mailing address

3901 HOUMA BLVD PLAZA I, STE 310
METAIRIE LA
70006
US

V. Phone/Fax

Practice location:
  • Phone: 504-456-7301
  • Fax: 504-455-9545
Mailing address:
  • Phone: 504-456-7301
  • Fax: 504-455-9345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License NumberMD017443
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: