| |
1600 N Highway 190, Covington, LA 70433-5186 | |
(985) 892-1056 | |
(985) 892-1648 |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 1600 N Highway 190, Covington, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1134219488 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 1950, Mandeville, LA 70470-1950 Ph: (985) 727-9948 | 1600 N Highway 190, Covington, LA 70433-5186 Ph: (985) 892-1056 |