Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Highland Clinic, a Prof Med Corp

Organization Ophthalmology Physician · NPI 1891168761

Highland Clinic, a Prof Med Corp is an Ophthalmology Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2015.

Licensed in
LA
In the registry since
2015
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 E Bert Koun Loop #103
Shreveport, LA 71105-5603
Phone: (318) 222-8402
Fax: (318) 222-4556
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X (LA)

Record details

NPI number1891168761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Gustavson — Administrator · (318) 798-4465
NPI enumeratedNovember 2, 2015
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1455 E Bert Koun Loop, Shreveport, LA 71105-5634

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