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Organization
LANGHETEE EYE CENTER LLC
Active
Organization
LANGHETEE EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA THERIOT (ATTORNEY/MANAGER)
(504) 495-6728
Entity
Organization
Contact information
Practice address
2201 VETERANS MEMORIAL BLVD STE 402, METAIRIE, LA 70002-6326
(504) 777-7733
(504) 648-1418
Mailing address
PO BOX 9249, METAIRIE, LA 70055-9249
(504) 495-6728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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