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Organization
EYES ON CANAL LLC
Active
Organization
EYES ON CANAL LLC
Active
Other names
Eyes on Canal
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE JACKSON O.D. (OPTOMETRIST)
(504) 237-7042
Entity
Organization
Contact information
Practice address
4205 CANAL ST STE B, NEW ORLEANS, LA 70119-5942
(504) 237-7042
Mailing address
2140 HIGHWAY 457, ALEXANDRIA, LA 71302-9274
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1797-731AT
LA
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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