George M Bakowski Od Pc

LBN: George M Bakowski Od Pc
George M Bakowski Od Pc is an health care organization with primary practice located at 1133 St. Vincent Ave # 216 Suite 120 Mall St. Vincent, Shreveport LA 71104-4147. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. George M Bakowski Od Pc can be contacted via phone (318) 221-8445, or through Bakowski, Sandy via phone (318) 227-2451.

Contact Information

Primary practice address
1133 St. Vincent Ave # 216 Suite 120 Mall St. Vincent Shreveport LA 71104-4147
Phone: (318) 221-8445
Fax: (318) 227-2442
Website:
Map and Directions
Authorized official contact:
Name: Bakowski, Sandy
Phone: (318) 227-2451

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 738-359T Louisiana

Profile Details

NPI number 1730222472
LBN Legal business name George M Bakowski Od Pc
DBA Doing business as
Authorized official Bakowski, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Feb 16th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730222472 NPPES
Louisiana MEDICAID 1150614

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