Provider Demographics
NPI:1770531543
Name:MAJOR, YVONNE (OD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:
Last Name:MAJOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13930 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-4932
Mailing Address - Country:US
Mailing Address - Phone:225-775-9665
Mailing Address - Fax:225-775-9667
Practice Address - Street 1:13930 PLANK RD
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-4932
Practice Address - Country:US
Practice Address - Phone:225-775-9665
Practice Address - Fax:225-775-9667
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA800-238T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2107BOtherBLUE CROSS BLUE SHILED
LA1308099Medicaid
LA2107BOtherBLUE CROSS BLUE SHILED
LA49530Medicare PIN