Extended Eyecare Services, LLC
Organization Active NPI Optometrist · Lafayette, LA
NPI 1639458573 · NPPES record last updated Aug 10, 2011
Key facts
- NPI
- 1639458573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1283443T (LA)
- Legal business name
- EXTENDED EYECARE SERVICES, LLC
- Practice address
- 101 Stratford Dr
Lafayette, LA 70503-5062 - Phone
- (337) 781-3709
- Fax
- (337) 534-8252
- NPI assigned
- Aug 10, 2011
- Organization subpart
- No
Authorized official
- Name
- Michael Lloyd Ziegler, O.D.
- Title
- President
- Phone
- (337) 781-3709
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1283443T | LA | Yes |
Addresses
Primary practice location
101 Stratford Dr
Lafayette, LA 70503-5062
Mailing address
101 Stratford Dr
Lafayette, LA 70503-5062
Phone (337) 781-3709
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.