Organization
ATLAS OPTICAL DISPENSARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA B ALBERS (OFFICE MANAGER)
(225) 927-4837
Entity
Organization
Contact information
Practice address
4560 NORTH BLVD, BATON ROUGE, LA 70806-4043
(225) 927-4837
Mailing address
4560 NORTH BLVD, BATON ROUGE, LA 70806-4043
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119601
—
LA
Enumeration date
08/30/2006
Last updated
05/19/2008
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