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Organization
THE HAMMOND EYE CLINIC, L.L.C.
Active
Organization
THE HAMMOND EYE CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN RICHARD PRADILLO O.D. (OWNER)
(985) 345-0607
Entity
Organization
Contact information
Practice address
110 W ROBERT ST, HAMMOND, LA 70401-3227
(985) 345-0607
(985) 345-0490
Mailing address
110 W ROBERT ST, HAMMOND, LA 70401-3227
(985) 345-0607
(985) 345-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1534-565T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949949
—
LA
Enumeration date
11/13/2006
Last updated
09/21/2012
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