Organization
VISION OPTIQUE INC
Active
Other names
Vision Optique
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODERICK A GRUENIG (PRESIDENT)
(985) 727-9948
Entity
Organization
Contact information
Practice address
2997 HIGHWAY 190, MANDEVILLE, LA 70471-3298
(985) 727-9948
(985) 237-6008
Mailing address
PO BOX 1950, MANDEVILLE, LA 70470-1950
(985) 727-9948
(985) 237-6008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1398969
—
LA
05
—
1943436
—
LA
Enumeration date
07/09/2006
Last updated
11/21/2007
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