Basic Information
Provider Information
NPI: 1851639413
EntityType: 2
ReplacementNPI:  
OrganizationName: JAMES MURPHY, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1536
Address2:  
City: MANDEVILLE
State: LA
PostalCode: 704701536
CountryCode: US
TelephoneNumber: 9856356943
FaxNumber: 9856356948
Practice Location
Address1: 1501 MANHATTAN BLVD
Address2:  
City: HARVEY
State: LA
PostalCode: 700583405
CountryCode: US
TelephoneNumber: 5043663279
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/16/2013
LastUpdateDate: 01/16/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MURPHY
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER/MEDICAL DIRECTOR
AuthorizedOfficialTelephone: 9856356943
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: OD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000X1619652TLAY193400000X SINGLE SPECIALTY GROUPEye and Vision Services ProvidersOptometrist 

No ID Information.


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