Healthcare Provider Details

I. General information

NPI: 1942944244
Provider Name (Legal Business Name): PATRICK INGRAFFIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 RUE DE BRILLE
NEW IBERIA LA
70563-2123
US

IV. Provider business mailing address

231 WINDERMERE BLVD
ALEXANDRIA LA
71303-3538
US

V. Phone/Fax

Practice location:
  • Phone: 318-487-2020
  • Fax: 318-445-7745
Mailing address:
  • Phone: 318-487-2020
  • Fax: 318-445-7745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number352906
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: