| |
2997 Highway 190, Mandeville, LA 70471-3298 | |
(985) 727-9948 | |
(985) 237-6008 |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 2997 Highway 190, Mandeville, 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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1275617425 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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Po Box 1950, Mandeville, LA 70470-1950 Ph: (985) 727-9948 | 2997 Highway 190, Mandeville, LA 70471-3298 Ph: (985) 727-9948 |