# PIERCE OPTOMETRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHSIDE EYE CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558330316
- **Authorized official:** ROBERT HOWARD PIERCE JR. O.D. (OWNER)
- **Authorized official phone:** (318) 251-3626

## Contact information

- **Practice address:** 116 KILLGORE RD, SUITE 1, RUSTON, LA 71270-7084
- **Practice address phone:** (318) 251-3626
- **Practice address fax:** (318) 251-3330
- **Mailing address:** 116 KILLGORE RD, SUITE 1, RUSTON, LA 71270-7084
- **Mailing address phone:** (318) 251-3626
- **Mailing address fax:** (318) 251-3330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1000-294T | LA | Yes |

## Other

- **Enumeration date:** 03/15/2006
- **Last updated:** 06/09/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1550418 | — | LA |
| 01 | — | T7623 | BLUE CROSS AND BLUE SHIELD | LA |