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Bryan Johannes Vekovius, MD
Specialist in Shreveport, Louisiana
NPI 1285674820

Bryan Johannes Vekovius is a Specialist based in Shreveport, LA. Bryan Johannes Vekovius practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Bryan Johannes Vekovius is 1285674820 and holds a License No. L023263 (Louisiana).

The current practice location address for Bryan Johannes Vekovius is 450 Ashley Ridge Blvd, Shreveport, LA and can be reached out via phone at 318-375-3733 and via fax at 318-675-3734. You can also correspond with Bryan Johannes Vekovius through the mailing address at 450 ASHLEY RIDGE BLVD, SHREVEPORT, LA - 71106-7228 (mailing address contact number: 318-675-3733).

Location: 450 Ashley Ridge Blvd, Shreveport, LA, 71106-7228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285674820
Provider Name
Bryan Johannes Vekovius
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Ashley Ridge Blvd, Shreveport, LA, 71106-7228
Phone Number
318-375-3733
Fax Number
318-675-3734
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
154644202 01 TX TEXAS MEDICAID
170085727 01 LA GROUP NPI #
0238TU 01 TX BLUE CROSS BLUE SHIELD
1495867 05 LA
180044593 01 LA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
450 Ashley Ridge Blvd
City
Shreveport
State
Louisiana
Zip
71106-7228
Phone Number
318-375-3733
Fax Number
318-675-3734
person
Provider Business Mailing Address Details
Address
450 Ashley Ridge Blvd
City
Shreveport
State
Louisiana
Zip
71106-7228
Phone Number
318-375-3733
Fax Number
318-675-3734
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
L023263 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Neuro-ophthalmology
Taxonomy
207WX0109X
License No.
L023263 (Louisiana)
Definition
A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
L023263 (Louisiana)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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