# THOMAS VISION CLINIC, INC

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

## Provider details

- **NPI number:** 1366611105
- **Authorized official:** CLIFTON MARK COWAN O.D. (OWNER)
- **Authorized official phone:** (337) 239-2020

## Contact information

- **Practice address:** 1100 N 5TH ST, LEESVILLE, LA 71446-2910
- **Practice address phone:** (337) 239-2020
- **Practice address fax:** (337) 239-0755
- **Mailing address:** PO BOX 681, LEESVILLE, LA 71496-0681
- **Mailing address phone:** (337) 239-2020
- **Mailing address fax:** (337) 239-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2008
- **Last updated:** 06/25/2010