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Individual

KEITH M COMEAUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1301 VICTOR II BLVD STE B, MORGAN CITY, LA 70380-1454
(985) 385-5744
(985) 384-6194
Mailing address
1301 VICTOR II BLVD STE B, MORGAN CITY, LA 70380-1454
(985) 385-5744
(985) 384-6194

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LA1081050T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1919519
LA
01
LA1081
MORGAN CITY BLUE CROSS
LA
Enumeration date
11/10/2006
Last updated
07/21/2022
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