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Organization
ST. CHARLES VISION OUTLET MANDEVILLE, LLC
Active
Organization
ST. CHARLES VISION OUTLET MANDEVILLE, LLC
Active
Other names
St. Charles Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTY G ROUSSEL (OFFICE MANAGER)
(985) 626-8103
Entity
Organization
Contact information
Practice address
1844 N. CAUSEWAY BLVD., MANDEVILLE, LA 70471
(985) 626-8103
Mailing address
1844 N. CAUSEWAY BLVD., MANDEVILLE, LA 70471
(985) 626-8103
(985) 626-5571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1318453T
LA
Other
Enumeration date
03/23/2007
Last updated
06/11/2014
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