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Organization
DR. EDWARD G GILCREASE O.D., LLC
Active
Organization
DR. EDWARD G GILCREASE O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD GILCREASE O.D. (DOCTOR/OWNER)
(318) 330-9070
Entity
Organization
Contact information
Practice address
1110 N 7TH ST, WEST MONROE, LA 71291-4334
(318) 330-9070
Mailing address
101 COUNTRY ESTATES DR, WEST MONROE, LA 71291-9078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1398528T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475815
—
LA
Enumeration date
03/06/2014
Last updated
04/24/2014
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