BOSSIER EYE INSTITUTE LLC (NPI# 1104947589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104947589 |
| Entity Type | Organization |
| Organization Name | BOSSIER EYE INSTITUTE LLC |
| Practice Address |
2300 Hospital Dr Suite 140 Bossier City LA 71111-2394 |
| Practice Telephone | 3187462020 |
| Mailing Telephone | 3187462020 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | WALLY NAWAS (OWNER) |
| Authorized Official Telephone | 3187462020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 024997 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1423351 | 05 |
| Street Address |
2300 HOSPITAL DR SUITE 140 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010939 | Norman A. Zaffater Jr. | Ophthalmology | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2005-08-17 |
| 1861860629 | Wk Premier Pediatrics | Pediatrics | 2300 Hospital Dr, Suite 420, Bossier City, LA 71111-2394 | 2015-09-10 |
| 1245623040 | Wk Bossier Ob Gyn Specialists | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 350, Bossier City, LA 71111-2394 | 2015-03-18 |
| 1851783955 | Wk Internal Medicine and Pediatric Specialists | Pediatrics | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2015-02-26 |
| 1508295338 | Wk Bossier Hyperbaric and Wound Care Center | Family Medicine | 2300 Hospital Dr, Suite 130, Bossier City, LA 71111-2394 | 2013-11-02 |
| 1912345208 | Wk Behavorial Health Med Center | Psychiatry & Neurology | 2300 Hospital Dr, Suite 340, Bossier City, LA 71111-2394 | 2013-06-07 |
| 1356784359 | Wk Ctr for Ear Nose and Throat Disorders | Otolaryngology | 2300 Hospital Dr, Suite 460, Bossier City, LA 71111-2394 | 2013-04-10 |
| 1104172535 | Stacey Wright Eaves | Nurse Practitioner | 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111-2394 | 2012-08-03 |
| 1972863231 | Robert Charles Smith II | Family Medicine | 2300 Hospital Dr, Suite 200, Bossier City, LA 71111-2394 | 2012-05-21 |
| 1750647376 | Adrian Pavlick | Family Medicine | 2300 Hospital Dr, Suite 180, Bossier City, LA 71111-2394 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518936376 | Wally R Nawas | Ophthalmology | 2300 Hospital Drive, Suite 140, Bossier City, LA 71111-2157 | 2006-03-15 |
| 1124010939 | Norman A. Zaffater Jr. | Ophthalmology | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2005-08-17 |
| 1568918076 | Wk Zaffater Eye Center | Ophthalmology | 2449 Hospital Dr, Bossier City, LA 71111-2399 | 2016-08-26 |
| 1902258312 | Planchard Eye & Laser Center, L.L.C. | Ophthalmology | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2016-07-09 |
| 1477805323 | Yue-kong Au Md LLC | Ophthalmology | 2539 Viking Dr, Ste 103, Bossier City, LA 71111-1611 | 2012-10-02 |
| 1053566653 | Zaffater Eye Center, LLC | Ophthalmology | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2008-11-24 |
| 1083734230 | Lawrence Joseph Planchard | Ophthalmology | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2007-03-30 |
| 1811942824 | Bossier Ophthalmology Clinic Amc | Ophthalmology | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2006-05-24 |
| 1578522587 | Yue Kong Au | Ophthalmology | 2539 Viking Dr, Suite 103, Bossier City, LA 71111-2165 | 2006-03-20 |
| 1104818905 | Thomas A. Planchard | Ophthalmology | 2400 Hospital Dr, Suite 100, Bossier City, LA 71111-2385 | 2005-08-17 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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| 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.