Organization
VISION OPTIQUE INC
Active
Parent organization
VISION OPTIQUE INC
Other names
Vision Optique C190
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISION OPTIQUE INC
Authorized official
MR. RODERICK A GRUENIG (PRESIDENT)
(985) 727-9948
Entity
Organization
Contact information
Practice address
1600 N HIGHWAY 190, COVINGTON, LA 70433-5186
(985) 892-1056
(985) 892-1648
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
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/14/2006
Last updated
11/21/2007
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