Organization · NPI-2

Louisiana State Optical Of Lafayette, INC.

Eyewear Supplier (Equipment, not the service) · Lafayette, LA

NPI number1598892879
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1598892879
Entity type
Organization (NPI-2)
Legal business name
Louisiana State Optical Of Lafayette, INC.
Organization subpart
No
Enumeration date
Feb 27, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

2813 Johnston St
Lafayette, LA 70503-3243

Phone 337-232-1404

Mailing address

2813 Johnston St
Lafayette, LA 70503-3243

Phone 337-232-1404

Authorized official

Richard J. Triche
Secretary-Treasurer
3374773662

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