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70380 Highway 21, Covington, LA 70433-8128 | |
(985) 635-6996 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 70380 Highway 21, 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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1457435612 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 1950, Mandeville, LA 70470-1950 Ph: (985) 727-9948 | 70380 Highway 21, Covington, LA 70433-8128 Ph: (985) 635-6996 |