Organization
DIMAGGIO FAMILY EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER DIMAGGIO O.D. (SECRETARY/TREASURER)
(337) 463-6169
Entity
Organization
Contact information
Practice address
1125 N PINE ST, DERIDDER, LA 70634-2819
(337) 462-2015
(337) 462-2081
Mailing address
1299 HIGHWAY 3226, DERIDDER, LA 70634-9133
(337) 463-6169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1281-437T
LA
152W00000X
Optometrist
1282-438T
LA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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