OrganizationActive
Advanced Eyecare, LLC
NPI 1043645666 · Primary Care Clinic/Center · Youngsville, LA
Provider details
- NPI number
- 1043645666
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Granger, Optometrist, Ceo(337) 451-4511
- License
- 1611-644T (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
107 Centre Sarcelle Blvd.
Suite 704
Youngsville, LA 70592
Phone: (337) 451-4511
Fax: (337) 857-6044
Approximate (ZIP-level) locationGet directions
Mailing address
107 Centre Sarcelle Blvd.
Youngsville, LA 70592
Other names (DBA / former)
- Doing business as
- Granger Eye Studio
Registry dates
- Enumerated
- 2013-09-13
- Last updated
- 2014-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.