Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Highland Clinic, A Prof Med Corp

Ophthalmology Physician in Shreveport, LA · enumerated 2015 · authorized official Michael Gustavson, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891168761

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Registry record

Entity type Organization (Type 2)

Legal business name Highland Clinic, A Prof Med Corp

Practice address 1400 E Bert Koun Loop, #103, Shreveport, LA, 71105

Phone (318) 222-8402

Fax (318) 222-4556

Enumeration date Nov 2, 2015

Last updated in NPPES Jun 2, 2026

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Michael Gustavson

Title Administrator

Phone (318) 798-4465

Other identifiers

Identifier	Type	State	Issuer
1038300	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-06-02. Verify at npiregistry.cms.hhs.gov.

Where is Highland Clinic, A Prof Med Corp located?

The practice location on file with NPPES is in Shreveport, LA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-02.