Healthcare Provider Details
I. General information
NPI: 1578649141
Provider Name (Legal Business Name): HEITMEIER & ARMANI MEDICAL & SURGICAL EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/27/2006
Last Update Date: 10/15/2020
Certification Date: 10/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3501 HOLIDAY DR STE 201
NEW ORLEANS LA
70114-8250
US
IV. Provider business mailing address
3501 HOLIDAY DR STE 201
NEW ORLEANS LA
70114-8250
US
V. Phone/Fax
- Phone: 504-368-7081
- Fax: 504-207-7031
- Phone: 504-368-7081
- Fax: 504-207-7031
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | LA |
VIII. Authorized Official
Name:
DAVID
R
HEITMEIER
Title or Position: OWNER PRESIDENT
Credential: OD
Phone: 504-368-7081