Provider Demographics
NPI:1053566653
Name:ZAFFATER EYE CENTER, LLC
Entity type:Organization
Organization Name:ZAFFATER EYE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ZAFFATER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:318-747-5838
Mailing Address - Street 1:2300 HOSPITAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-2394
Mailing Address - Country:US
Mailing Address - Phone:318-747-5838
Mailing Address - Fax:318-747-5827
Practice Address - Street 1:2300 HOSPITAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-2394
Practice Address - Country:US
Practice Address - Phone:318-747-5838
Practice Address - Fax:318-747-5827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10876R207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DG56Medicare PIN