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Organization
EYES & EYEWEAR INC.
Active
Organization
EYES & EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WALKER O.D. (OWNER)
(318) 688-3050
Entity
Organization
Contact information
Practice address
6823 PINES RD, SUITE B, SHREVEPORT, LA 71129-5205
(318) 688-3050
(318) 688-3233
Mailing address
6823 PINES RD, SUITE B, SHREVEPORT, LA 71129-5205
(318) 688-3050
(318) 688-3233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
809097T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342696
—
LA
01
—
4358428080
BLUE CROSS OF LOUISIANA
LA
01
—
439724581C
BLUE CROSS OF LOUISIANA
LA
Enumeration date
03/25/2008
Last updated
05/31/2012
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