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Organization
CAN, INC.
Active
Organization
CAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A NASSAUER O.D. (PRESIDENT)
(985) 732-4900
Entity
Organization
Contact information
Practice address
413 AUSTIN ST, BOGALUSA, LA 70427-3819
(985) 732-4900
Mailing address
413 AUSTIN ST, BOGALUSA, LA 70427-3819
(985) 732-4900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
919183T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LA9183
EYEMED
LA
Enumeration date
05/01/2007
Last updated
08/22/2020
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