| |
110 Main St, Logansport, LA 71049-2996 | |
(832) 934-1166 | |
(832) 934-1161 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 110 Main St, Logansport, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285025858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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110 Main St, Logansport, LA 71049-2996 Ph: (832) 934-1166 | 110 Main St, Logansport, LA 71049-2996 Ph: (832) 934-1166 |