# CAROLYN VAN OD & ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Complete Vision Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497116297
- **Authorized official:** CAROLYN VAN O.D. (OPTOMETRIST)
- **Authorized official phone:** (225) 405-3792

## Contact information

- **Practice address:** 201 MEADOW FARM RD, INSIDE COSTCO, LAFAYETTE, LA 70508-7277
- **Practice address phone:** (337) 541-7040
- **Practice address fax:** (337) 541-7041
- **Mailing address:** 201 MEADOW FARM RD, INSIDE COSTCO, LAFAYETTE, LA 70508-7277
- **Mailing address phone:** (337) 541-7040
- **Mailing address fax:** (337) 541-7041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1794-728AT | LA | Yes |

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 03/08/2016