Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 04266R | LA |
NPI | 1003803206 |
---|---|
Provider Name | Zvi Aviner |
First Address | Opelousas, LA 70570-0755 |
Second Address | Opelousas, LA 70570-0755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 13/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1549096 | (05) | LA |
B60356 | (02) | LA |