Provider Demographics
NPI:1972719920
Name:ORLEANS MEDICAL LLC
Entity type:Organization
Organization Name:ORLEANS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:OPPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:504-261-1676
Mailing Address - Street 1:1939 BURGUNDY ST # 8
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70116-1603
Mailing Address - Country:US
Mailing Address - Phone:504-261-1676
Mailing Address - Fax:
Practice Address - Street 1:2101 ORLEANS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70116-2831
Practice Address - Country:US
Practice Address - Phone:504-261-1676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2010-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAD79733261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAD79733Medicare UPIN