# DR. MANUEL M. DE LA RUA, O.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194140475
- **Authorized official:** MRS. DEBORAH TRACEY DE LA RUA (OFFICE MANAGER)
- **Authorized official phone:** (504) 443-9485

## Contact information

- **Practice address:** 3701 WILLIAMS BLVD, SUITE 204, KENNER, LA 70065-3070
- **Practice address phone:** (504) 443-9485
- **Practice address fax:** (504) 443-5834
- **Mailing address:** 3701 WILLIAMS BLVD, SUITE 204, KENNER, LA 70065-3070
- **Mailing address phone:** (504) 443-9485
- **Mailing address fax:** (504) 443-5834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 992-202T | LA | Yes |

## Other

- **Enumeration date:** 02/24/2014
- **Last updated:** 02/24/2014