BRIAN MIKULLA (NPI# 1194959585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194959585 |
| Entity Type | Individual |
| Full Name | BRIAN MIKULLA |
| Credential | MD |
| Practice Address |
1980 Tybee St Lake Charles LA 70605-4173 |
| Mailing Address |
Po Box 4765 Lake Charles LA 70606-4765 |
| Practice Telephone | 3374770963 |
| Practice Fax Number | 3374771912 |
| Mailing Telephone | 3374770963 |
| Mailing Fax Number | 3374771912 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD.203922 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1980 TYBEE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326244880 | Paradise Optical & Gifts | Eyewear Supplier (Equipment, not the service) | 1980 Tybee St, Lake Charles, LA 70605-4173 | 2007-06-22 |
| 1952543076 | Paradise Optical & Gifts LLC | Eyewear Supplier (Equipment, not the service) | 1980 Tybee St, Lake Charles, LA 70605-4173 | 2009-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 |
|---|---|---|---|---|
| 1336409051 | Jonathan Perkins | Ophthalmology | 2800 1st Ave Ste C, Lake Charles, LA 70601 | 2012-05-29 |
| 1326020371 | Larry Don Stewart | Ophthalmology | 1767 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-11-16 |
| 1538168323 | Donald Charles Falgoust | Ophthalmology | 1980 Tybee Lane, Lake Charles, LA 70605-2400 | 2005-07-14 |
| 1407391469 | Optics Unlimited Inc. | Ophthalmology | 2800 1st Ave, A, Lake Charles, LA 70601-8884 | 2016-12-30 |
| 1326483462 | Marcy L. Hanudel | Ophthalmology | 1767 Imperial Blvd, Lake Charles, LA 70605-5362 | 2013-05-02 |
| 1063778504 | Margaret Young Carter | Ophthalmology | 1717 Oak Park Blvd, #1, Lake Charles, LA 70601-8991 | 2012-04-10 |
| 1922298488 | Lewis Virgil Murray Iv | Ophthalmology | 1717 Oak Park Blvd, Suite 1, Lake Charles, LA 70601-8991 | 2007-07-30 |
| 1649285040 | Falgoust Eye Medical and Surgical | Ophthalmology | 1980 Tybee Lane, Lake Charles, LA 70605-2400 | 2006-07-31 |
| 1275515165 | Alan Daniel Lacoste | Ophthalmology | 1767 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-11-16 |
| 1427030352 | Jon Anthony Yokubaitis | Ophthalmology | 1767 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-11-16 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.