# SEVERN EYECARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Charles Vision
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225086689
- **Authorized official:** DR. IVAN B. BANK O.D. (DOCTOR/OWNER)
- **Authorized official phone:** (504) 887-2020

## Contact information

- **Practice address:** 3200 SEVERN AVE, SUITE 102, METAIRIE, LA 70002-4793
- **Practice address phone:** (504) 887-2020
- **Practice address fax:** (504) 887-7698
- **Mailing address:** 3200 SEVERN AVE, SUITE 102, METAIRIE, LA 70002-4793
- **Mailing address phone:** (504) 887-2020
- **Mailing address fax:** (504) 887-7698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 930-108T | LA | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 02/14/2008
