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Organization

SANDERS VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRAIG M SANDERS (OPTOMETRIST)
(337) 984-9941
Entity
Organization

Contact information

Practice address
4432 JOHNSTON STREET, LAFAYETTE, LA 70503
(337) 984-9941
(337) 984-8639
Mailing address
4432 B JOHNSTON STREET, LAFAYETTE, LA 70503
(337) 984-9941
(337) 984-8639

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
944-171T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1335975
LA
Enumeration date
10/29/2010
Last updated
10/29/2010
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