Healthcare Provider Details

I. General information

NPI: 1740618297
Provider Name (Legal Business Name): WORLEY & HARIRI OCULOPLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2013
Last Update Date: 06/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3715 PRYTANIA ST SUITE 504
NEW ORLEANS LA
70115-3761
US

IV. Provider business mailing address

3715 PRYTANIA ST SUITE 504
NEW ORLEANS LA
70115-3761
US

V. Phone/Fax

Practice location:
  • Phone: 504-895-3223
  • Fax: 504-895-3224
Mailing address:
  • Phone: 504-895-3223
  • Fax: 504-895-3224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ADHAM AL-HARIRI
Title or Position: CO-OWNER/PRESIDENT
Credential: M.D.
Phone: 504-895-3223