Provider Demographics
NPI:1770773335
Name:FARRELL, ERIN (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2800 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6130
Mailing Address - Country:US
Mailing Address - Phone:504-833-2532
Mailing Address - Fax:504-833-9232
Practice Address - Street 1:4720 S I 10 SERVICE RD W STE 406
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1242
Practice Address - Country:US
Practice Address - Phone:504-456-3155
Practice Address - Fax:504-456-3113
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2024-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.201650207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1077305Medicaid
LA4P702Medicare PIN