MEDICARE: DR. BARRY A BOHN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	10519	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1881697241	OTHER	LA	UNITED HEALTHCARE
2	1881697241	OTHER	LA	GILSBAR 360
3	1881697241	OTHER	LA	BESTCARE
4	1881697241	OTHER	LA	AMERICAN LIFECARE
5	1881697241	OTHER	LA	ST. EMPLOYEES GROUP
6	1881697241	OTHER	LA	VERITY
7	1881697241	OTHER	LA	PHCS
8	1881697241	OTHER	LA	COVENTRY
9	1881697241	OTHER	LA	BLUE CROSS & BLUE SHIELD
10	1881697241	OTHER	LA	PPO PLUS

General Provider Information

NPI Number	:	1881697241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY A BOHN M.D.

Provider Business Mailing Address
First Line	:	609 GUILBEAU RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-8708
Country	:	US
Telephone Number	:	337-981-6430
Fax Number	:	337-981-9134

Provider Business Practice Location Address
First Line	:	609 GUILBEAU RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-8708
Country	:	US
Telephone Number	:	337-981-6430
Fax Number	:	337-981-9134

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	09/27/2011

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Directions to “ DR. BARRY A BOHN M.D.” Practice Location

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