Germer Haley LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GERMER HALEY LLC

Practice address

409 Avenue F
Bogalusa, LA 70427-3633

Phone

(985) 735-8137

Fax

(504) 887-7816

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Addresses

Other identifiers 3

Other names 1

• Eye Surgery Center of Louisiana Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Associates LLC

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1124071717

  O20050928000006

  Same enrollment

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary M Artigue, O.D.

  • Optometrist
  • Slidell, LA
  • NPI 1396737813
  NPD
• Randy Peter Bouligny, MD

  • Ophthalmology Physician
  • Bogalusa, LA
  • NPI 1609808294

  Ophthalmology

  NPD
• James Andrew David, M.D.

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1164886651

  Ophthalmology

  NPD
• John Thomas Frisbee, MD

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1437358868

  Ophthalmology

  NPD
• Bruce Achilles Germer, M.D.

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1780655258

  Ophthalmology

  NPD
• Marc Hautot, O.D.

  • Optometrist
  • Bogalusa, LA
  • NPI 1346215274
  NPD
• Marilu O'Byrne, M.D.

  • Ophthalmology Physician
  • Mandeville, LA
  • NPI 1083772453

  Ophthalmology

  NPD
• David Michael Ostrick, O.D.

  • Optometrist
  • La Place, LA
  • NPI 1831114073
  NPD
• Satya Vardhan Reddy, M.D.

  • Cornea and External Diseases Specialist Physician
  • Covington, LA
  • NPI 1174534960

  Ophthalmology

  NPD
• Waldemar Torres-Carlo, MD

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
  • NPI 1275528051

  Single Specialty

  NPD
• Jennifer S Vallelungo

  • Ophthalmology Physician
  • Covington, LA
  • NPI 1538483557

  Ophthalmology

  NPD
• Bonnie Elizabeth Keaton, OD

  • Optometrist
  • Picayune, MS
  • NPI 1306435722
  NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015514",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441121",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00134738",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krupa Gandhi, M.D.
• Anna Teresa Garcia Bernal, MD
• Gary a Parker DDS Apdc
• Katy Gaspard, MD
• Darryl Anthony Gaudet Jr., DO
• Amanda Michelle Gorrell
• Leigh Anne Graham, MSN, APRN, FNP-C
• Trenise J Graves
• Glenna Grice
• Lauren Groves, DO

• Ophthalmology Physician in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Ophthalmology Physician in Louisiana

• 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.

Verify at the official NPI Registry.