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Organization
ST. TAMMANY EYE CARE LLC
Active
Organization
ST. TAMMANY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA N HICKMAN OD (OWNER)
(985) 231-0800
Entity
Organization
Contact information
Practice address
1107 VILLAGE WALK, COVINGTON, LA 70433-4006
(985) 231-0800
(985) 590-3721
Mailing address
1107 VILLAGE WALK, COVINGTON, LA 70433-4006
(985) 231-0800
(985) 590-3721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
261Q00000X
Clinic/Center
1603-636AT
LA
Other
Enumeration date
04/04/2017
Last updated
08/14/2023
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