Boyd, Gabrielle Gandy
Boyd, Gabrielle Gandy is an individual health care provider with primary practice located at 471 Ashley Ridge Blvd , Shreveport LA 71106-7229. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Boyd, Gabrielle Gandy can be contacted via phone (318) 795-4770.Contact Information
Primary practice address
471 Ashley Ridge Blvd
Shreveport LA 71106-7229
Phone: (318) 795-4770
Fax: (318) 795-4775
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1866801AT | Louisiana |
Profile Details
| NPI number | 1730687260 |
|---|---|
| LBN Legal business name | Boyd, Gabrielle Gandy |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Jul 7th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730687260 | NPPES |
| Louisiana | MEDICAID | 2476815 |
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