NPI 1033419460

Andrew Kumar Ganesh, OD

Practitioner Optometrist Baton Rouge, LA

Practice location

Address: 7515 Florida Blvd, Baton Rouge, LA 70806-4700
Phone: (225) 924-5460
Fax: (225) 924-0988
Mailing address: 8451 Picardy Ave. Unit 2218, Baton Rouge, LA 70809

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1947-883AT (LA)

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Registry record

NPI: 1033419460
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Nov 2010
Record last updated: 13 Oct 2021

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.