Organization Name: | OBYRNE EYE CLINIC, L.L.C. |
NPI Number: | 1649471335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILU OBYRNE (OWNERM.D.) |
Mailing Address: | 1580 W Causeway Approach Suite 3 Mandeville |
State: | LA US |
Postal Code: | 704713033 |
Phone Number: | 9856245573 |
Fax Number: | 9856249106 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 016256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |