# EYE FAIRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912573072
- **Authorized official:** LAUREN GRIFFIN OD (OWNER)
- **Authorized official phone:** (804) 787-3626

## Contact information

- **Practice address:** 800 METAIRIE RD STE Q, METAIRIE, LA 70005-4066
- **Practice address phone:** (504) 301-1726
- **Mailing address:** 800 METAIRIE RD STE Q, METAIRIE, LA 70005-4066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2021
- **Last updated:** 05/31/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2509896 | — | LA |