# EYES ON CANAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eyes on Canal
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982064630
- **Authorized official:** DR. MONIQUE JACKSON O.D. (OPTOMETRIST)
- **Authorized official phone:** (504) 237-7042

## Contact information

- **Practice address:** 4205 CANAL ST STE B, NEW ORLEANS, LA 70119-5942
- **Practice address phone:** (504) 237-7042
- **Mailing address:** 2140 HIGHWAY 457, ALEXANDRIA, LA 71302-9274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1797-731AT | LA | Yes |

## Other

- **Enumeration date:** 02/23/2016
- **Last updated:** 02/23/2016