Organization
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS
Active
Other names
Eye Associates of Northeast Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNALISA M AHEE (INSURANCE SUPERVISOR)
(318) 325-2610
Entity
Organization
Contact information
Practice address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715
Mailing address
1804 N 7TH ST, WEST MONROE, LA 71291-4414
(318) 325-2610
(318) 325-7715
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0407850001
DME SUPPLIER #
LA
Enumeration date
03/08/2007
Last updated
07/20/2015
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