Individual provider · NPI-1
Richard Charles Abda, OCULARIST
Technician/Technologist, Ocularist · Kenner, LA
NPI number1649433475
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1649433475
- Entity type
- Individual (NPI-1)
- Name
- Mr. Richard Charles Abda
- Credential
- OCULARIST
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2008
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1700X | Technician/Technologist, Ocularist | 1508 | LA | Yes |
Practice location
3715 Williams Blvd Ste 207Kenner, LA 70065-3075
Phone 504-469-3937 · Fax 504-469-3377
Mailing address
Po Box 415Kenner, LA 70063-0415
Phone 504-469-3937 · Fax 504-469-3377
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