Alisa Kay Brogden in Shreveport - Optometrist
Alisa Kay Brogden - NPI 1598878860
Alisa Kay Brogden is a Optometrist in Shreveport, Louisiana. Alisa Kay Brogden practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Alisa Kay Brogden is 1598878860. The last update date is 2016-04-11.
Alisa Kay Brogden's current location address is 5848 Line Ave, Shreveport, Louisiana. You can contact this provider via phone number 3188650017 and fax number 3188684738. The mailing address for Alisa Kay Brogden is 5848 Line Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa Kay Brogden |
|---|---|
| Address | 5848 Line Ave, Shreveport, Louisiana |
| Phone Number | 3188650017 |
| Fax Number | 3188684738 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1598878860 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2016-04-11 |
Provider Mailing Address Detail
| Address | 5848 Line Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711061532 |
| Phone Number | 3188650017 |
| Fax Number | 3188684738 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1533-563T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1715204 | LA | -- |
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What is the unique 10-digit identification code issued to Alisa Kay Brogden by the Centers for Medicare & Medicaid Services?
The Alisa Kay Brogden has been assigned the NPI (National Provider Identifier) 1598878860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Alisa Kay Brogden is physically located?
The Alisa Kay Brogden is situated at the following address: 5848 Line Ave, Shreveport, LA 711061532.
What is the Alisa Kay Brogden's specialty and taxonomy code?
The Alisa Kay Brogden's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598878860 to Alisa Kay Brogden?
The Alisa Kay Brogden received its 1598878860 assignment from the Centers for Medicare & Medicaid Services on 2006-08-17.
When was the information pertaining to Alisa Kay Brogden most recently updated or revised?
The details related to Alisa Kay Brogden, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-11.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY