NPI 1548408628

Wk Pediatric Eye Specialists

Organisation General Practice Physician Shreveport, LA

Practice location

Address: 1202 Louisiana Ave, Shreveport, LA 71101-3910
Phone: (318) 212-8946
Fax: (318) 212-4153

Authorised official

Name: Greg J. Gavin
Title: Network Administrator
Phone: (318) 212-4232

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Louisiana →

Registry record

NPI: 1548408628
Entity type: Organization
NPI issued: 28 Jan 2009
Record last updated: 11 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.