| Ms Vivian Marie Fountain, OD | |
|
130 Enterprise Dr, Houma, LA 70360-2443 | |
| (985) 872-2020 | |
| (985) 872-2069 |
| Full Name | Ms Vivian Marie Fountain |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 130 Enterprise Dr, Houma, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790877413 | NPI | - | NPPES |
| 94199 | Other | MS | TPA |
| MS 638 | Other | MS | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | MS638 (Mississippi) | Secondary |
| 152W00000X | Optometrist | MS 638 (Mississippi) | Secondary |
| 152W00000X | Optometrist | 1804-738AT (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Vivian Marie Fountain, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Ms Vivian Marie Fountain, OD 130 Enterprise Dr, Houma, LA 70360-2443 Ph: (985) 872-2020 |
Shelley Huff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Enterprise Dr, Houma, LA 70360 Phone: 985-872-2020 | |
Nils Rege O.d., L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1633 Martin Luther King Jr Blvd, Houma, LA 70360 Phone: 504-909-2800 | |
Dr. Otis J Bourg Jr., O. D. Optometrist Medicare: Medicare Enrolled Practice Location: 832 Belanger St, Houma, LA 70360 Phone: 985-872-1494 Fax: 985-580-4422 | |
Patrick Huettemann, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 446 Corporate Dr, Houma, LA 70360 Phone: 985-228-6343 | |
Michelle F Sonnier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6008 W Main St, Houma, LA 70360 Phone: 985-872-3535 Fax: 985-879-3855 | |
Dr. Marc Roland Ardoin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 603 Dunn St, Houma, LA 70360 Phone: 985-876-6980 Fax: 985-876-6975 | |
Dr. Nils Rege, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 933 Grand Caillou Rd, Houma, LA 70363 Phone: 504-909-2800 |