Healthcare Provider Details

I. General information

NPI: 1083601298
Provider Name (Legal Business Name): LAHAYE CENTER FOR ADVANCED EYE CARE, APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4313 I 49 S SERVICE RD
OPELOUSAS LA
70570-0755
US

IV. Provider business mailing address

4313 I 49 S SERVICE RD
OPELOUSAS LA
70570-0755
US

V. Phone/Fax

Practice location:
  • Phone: 337-942-2024
  • Fax: 337-948-6216
Mailing address:
  • Phone: 337-942-2024
  • Fax: 337-948-6216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number34
License Number StateLA

VIII. Authorized Official

Name: LEON CLAUDE LAHAYE
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 337-942-2024