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Organization
MITCHELL EYE CARE ASSOCIATES, L.L.C.
Active
Organization
MITCHELL EYE CARE ASSOCIATES, L.L.C.
Active
Other names
Mitchell Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MITCHELL O.D. (MANAGER)
(985) 447-2393
Entity
Organization
Contact information
Practice address
425 SAINT MARY ST, THIBODAUX, LA 70301-2641
(985) 447-2393
(985) 447-2399
Mailing address
425 SAINT MARY ST, THIBODAUX, LA 70301-2641
(985) 447-2393
(985) 447-2399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1411-553T
LA
152W00000X
Optometrist
1412-554T
LA
152WC0802X
Corneal and Contact Management Optometrist
1411-553T
LA
152WP0200X
Pediatric Optometrist
1412-554T
LA
152WS0006X
Sports Vision Optometrist
1411-553T
LA
152WV0400X
Vision Therapy Optometrist
1411-553T
LA
152WX0102X
Occupational Vision Optometrist
1412-554T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507032
—
LA
Enumeration date
05/18/2006
Last updated
12/02/2016
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