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Organization
EVELYN B HANNA OD A PROFESSIONAL OPTOMETRY CORP
Active
Organization
EVELYN B HANNA OD A PROFESSIONAL OPTOMETRY CORP
Active
Other names
Carencro Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN B HANNA OD (OPTOMETRIST PRESIDENT)
(337) 896-7575
Entity
Organization
Contact information
Practice address
814 VETERANS DR, CARENCRO, LA 70520-3701
(337) 896-7575
Mailing address
814 VETERANS DR, CARENCRO, LA 70520-3701
(337) 896-7575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
910074T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328111
—
LA
Enumeration date
03/08/2007
Last updated
05/21/2008
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