Organization
NILS REGE O.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILS REGE O.D. (MEMBER)
(504) 909-2800
Entity
Organization
Contact information
Practice address
1633 MARTIN LUTHER KING JR BLVD, HOUMA, LA 70360-2897
(504) 909-2800
Mailing address
813 BELMERE LUXURY CT, HOUMA, LA 70360-2966
(504) 909-2800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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