# ANTOON EYE CENTER, INC.

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

## Provider details

- **NPI number:** 1376607317
- **Authorized official:** DR. ROBERT ELLIS ANTOON O.D. (PRESIDENT)
- **Authorized official phone:** (318) 442-9572

## Contact information

- **Practice address:** 329 EDGEWOOD DR, PINEVILLE, LA 71360-5444
- **Practice address phone:** (318) 442-9572
- **Practice address fax:** (318) 445-8857
- **Mailing address:** 329 EDGEWOOD DR, PINEVILLE, LA 71360-5444
- **Mailing address phone:** (318) 442-9572
- **Mailing address fax:** (318) 445-8857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 737-099T | LA | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 06/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1141640 | — | LA |