HIGHLAND CLINIC, A PROF MED CORP
NPI 1891168761
Ophthalmology in Shreveport, LA

Active since November 02, 2015
1400 E BERT KOUN LOOP, #103, SHREVEPORT, LA 71105(318) 222-8402(318) 222-4556 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Dec 8, 2015 (2 updates tracked since 2015).

About Highland Clinic, A Prof Med Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGHLAND CLINIC, A PROF MED CORP (NPI 1891168761) is a healthcare organization registered as an ophthalmology in Shreveport, Louisiana and active in the NPI registry since November 2015. The organization lists Michael Gustavson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891168761
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameHIGHLAND CLINIC, A PROF MED CORP
Location Address1400 E BERT KOUN LOOP, #103Shreveport, LA 71105-5603
Mailing Address1455 E Bert Koun LoopShreveport, LA 71105-5634 · (318) 798-4500 · Fax (318) 798-4555
Fax(318) 222-4556
Organization SubpartNo
Authorized OfficialMichael GustavsonAdministrator · (318) 798-4465
Enumeration DateNovember 2, 2015
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1891168761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1400 E BERT KOUN LOOP, Shreveport, LA 71105

Other Identifiers 1

Medicaid1038300LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Highland Clinic, A Prof Med Corp's NPI number?

The NPI number for Highland Clinic, A Prof Med Corp is 1891168761. It was assigned to this organization in the NPPES registry on November 2, 2015.

Where is Highland Clinic, A Prof Med Corp located?

Highland Clinic, A Prof Med Corp is located at 1400 E Bert Koun Loop #103, Shreveport, LA 71105. The listed phone number is (318) 222-8402.

What is Highland Clinic, A Prof Med Corp's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Highland Clinic, A Prof Med Corp was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.