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Organization
MILLIKEN EYE CARE, LLC
Active
Organization
MILLIKEN EYE CARE, LLC
Active
Other names
Miss Lou Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ANDERS (MANAGER)
(601) 443-9876
Entity
Organization
Contact information
Practice address
202 ADVOCATE ROW, VIDALIA, LA 71373-3000
(601) 443-9876
(601) 442-4000
Mailing address
202 ADVOCATE ROW, VIDALIA, LA 71373-3000
(601) 443-9876
(601) 442-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
792
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005352884
—
MS
05
—
09825097
—
MS
Enumeration date
09/11/2012
Last updated
05/28/2024
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