# STEPHEN E. WARREN LLC

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

## Provider details

- **NPI number:** 1427174010
- **Authorized official:** DR. STEPHEN E. WARREN O.D. (OWNER)
- **Authorized official phone:** (985) 542-9410

## Contact information

- **Practice address:** 800 C M FAGAN DR, SUITE F, HAMMOND, LA 70403-6062
- **Practice address phone:** (985) 542-9410
- **Practice address fax:** (985) 542-5046
- **Mailing address:** 800 C M FAGAN DR, SUITE F, HAMMOND, LA 70403-6062
- **Mailing address phone:** (985) 542-9410
- **Mailing address fax:** (985) 542-5046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 756192T | LA | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | $$$$$$$$$ | SOCIAL SECURITY NUMBER | LA |
| 05 | — | 1447391 | — | LA |