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Eyewear Society, INC

Optometrist in Covington, LA. Organization (NPI-2).

NPI number1477897874
StatusActive
Last updated in NPPESNov 26, 2012

Details

NPI
1477897874
Entity type
Organization (NPI-2)
Legal business name
Eyewear Society, INC
Organization subpart
No
Enumeration date
Nov 26, 2012
Last updated
Nov 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist1598-631TLAYes

Practice location

6109 Pinnacle Pkwy
Covington, LA 70433-9195

Phone 954-609-7028

Mailing address

6109 Pinnacle Pkwy
Covington, LA 70433-9195

Authorized official

Thom Thi Dinh
Owner/Doctor
9546097028

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