EDWARDS SHOE SERVICE & LEATHER SPECIALTY SHOE REPAIR


Address: 3704 Magazine St, New Orleans, LA 70115-2637
Phone: 5048954993

EDWARDS SHOE SERVICE & LEATHER SPECIALTY SHOE REPAIR (NPI# 1053646497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053646497
Entity Type Organization
Organization Name EDWARDS SHOE SERVICE & LEATHER SPECIALTY SHOE REPAIR
Other Organization Name EDWARDS LEATHER & SHOE REPAIR
Practice Address 3704 Magazine St
New Orleans
LA 70115-2637
Mailing Address 3936 Red Cypress Dr
Harvey
LA 70058-5815
Practice Telephone 5048954993
Mailing Telephone 5048954993
Enumeration Date 2009-10-02
Last Update Date 2009-10-02
Authorized Official Name MR. JEFFREY SMOOT I (OWNER)
Authorized Official Telephone 5042146208
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
21876 LA Suppliers

Other Provider/Organization Names

Other Name Type Code
Edwards Leather & Shoe Repair Doing Business As Name - Organization

Office Location

Street Address 3704 MAGAZINE ST
City NEW ORLEANS
State LA
Zip Code 70115-2637

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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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Competitor

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City NEW ORLEANS
Zip Code 70115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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