Provider Demographics
NPI:1396724639
Name:OPPMAN, EUGENE GARY (OD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:GARY
Last Name:OPPMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10190
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70181-0190
Mailing Address - Country:US
Mailing Address - Phone:985-878-1066
Mailing Address - Fax:504-617-6303
Practice Address - Street 1:312 MARTIN LUTHER KING JR ST
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:LA
Practice Address - Zip Code:70443-2387
Practice Address - Country:US
Practice Address - Phone:985-878-1066
Practice Address - Fax:504-617-6303
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-14
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1033-109T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1588832919OtherGROUP NPI
LA410011344OtherRAILROAD MEDICARE PIN
LAF2422OtherBLUE CROSS
LADE5503OtherRAILROAD MEDICARE GROUP
LA57878OtherMEDICARE GROUP
LA1370771Medicaid
LAT19546Medicare UPIN
LA410011344OtherRAILROAD MEDICARE PIN
LA48352Medicare ID - Type Unspecified