Provider Demographics
NPI:1699082040
Name:MICHAEL LLOYD ZIEGLER INC APOC
Entity type:Organization
Organization Name:MICHAEL LLOYD ZIEGLER INC APOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:ZIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:337-781-6981
Mailing Address - Street 1:101 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5062
Mailing Address - Country:US
Mailing Address - Phone:337-781-6981
Mailing Address - Fax:
Practice Address - Street 1:303 E INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-3021
Practice Address - Country:US
Practice Address - Phone:337-824-5754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1283443T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1162523Medicaid