Active NPI
Germer Haley LLC
Doing business as Eye Surgery Center of Louisiana
- Ophthalmology Physician
- Bogalusa, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- GERMER HALEY LLC
- Doing business as
- Eye Surgery Center of Louisiana
- Practice address
- 409 Avenue F
Bogalusa, LA 70427-3633 - Phone
- (985) 735-8137
- Fax
- (504) 887-7816
- NPI assigned
- Oct 15, 2007
- Last updated
- Sep 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wiliam Dave Willis
- Title
- Administrator
- Phone
- (504) 455-1816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
409 Avenue F
Bogalusa, LA 70427-3633
Mailing address
3900 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-5634
Phone (504) 455-1816
Other names 1
- Eye Surgery Center of Louisiana
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050928000006 | LA | Part B Supplier - Clinic/Group Practice | 0648205740 |
Receives reassigned benefits from 12 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Slidell, LA; Metairie, LA; Gretna, LA; Bogalusa, LA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Eye Surgery Center Of Louisiana
- Ophthalmology Physician
- Metairie, LA
- NPI 1124071717
O20050928000006
National Provider Directory
National Provider DirectoryLocations
3900 Veterans Memorial Blvd
Ste 203
Metairie, LA 70002
Phone (504) 455-1816
5646 Read Blvd
#220
New Orleans, LA 70127
Phone (504) 246-2136
1173 Robert Blvd
Slidell, LA 70458
Phone (504) 887-7660
Practitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Slidell, LA
- NPI 1396737813
-
- Ophthalmology Physician
- Bogalusa, LA
- NPI 1609808294
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1164886651
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1437358868
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1780655258
-
- Optometrist
- Bogalusa, LA
- NPI 1346215274
-
- Ophthalmology Physician
- Mandeville, LA
- NPI 1083772453
-
- Optometrist
- La Place, LA
- NPI 1831114073
-
- Cornea and External Diseases Specialist Physician
- Covington, LA
- NPI 1174534960
Ophthalmology
-
- Retina Specialist (Ophthalmology) Physician
- Metairie, LA
- NPI 1275528051
Single Specialty
-
- Ophthalmology Physician
- Covington, LA
- NPI 1538483557
-
- Optometrist
- Picayune, MS
- NPI 1306435722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284508800000",
"number": "1104014216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 203",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025634",
"telephone_number": "504-455-1816",
"fax_number": "504-887-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 AVENUE F",
"city": "BOGALUSA",
"state": "LA",
"postal_code": "704273633",
"telephone_number": "985-735-8137",
"fax_number": "504-887-7816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERMER HALEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2010-09-15",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "WILIAM",
"authorized_official_middle_name": "DAVE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "504-455-1816",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Surgery Center of Louisiana",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bogalusa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.