# GRAND VISION LAFRENIERE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRAND VISION, L.L.C.
- **Other names:** Grand Vision
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427356062
- **Legal business name:** GRAND VISION, L.L.C.
- **Authorized official:** DR. JOHN MUSSELMAN O.D. (OWNER)
- **Authorized official phone:** (504) 322-7525

## Contact information

- **Practice address:** 6601 VETERANS MEMORIAL BLVD, STE 19 - 21, METAIRIE, LA 70003-3943
- **Practice address phone:** (504) 322-7525
- **Practice address fax:** (504) 322-7529
- **Mailing address:** 6601 VETERANS MEMORIAL BLVD, STE 19 - 21, METAIRIE, LA 70003-3943
- **Mailing address phone:** (504) 322-7525
- **Mailing address fax:** (504) 322-7529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 869112T | LA | Yes |

## Other

- **Enumeration date:** 03/07/2011
- **Last updated:** 02/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1950815 | — | LA |