Organization
EVANGELINE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HOFFPAUIR (OWNER)
(337) 380-9304
Entity
Organization
Contact information
Practice address
611 E ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6702
(337) 367-0625
Mailing address
611 E ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6702
(337) 367-0625
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1128902
—
LA
Enumeration date
05/19/2017
Last updated
07/21/2022
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