Organization
WASHINGTON AVE MEDICAL PLAZA
Active
Other names
WASHINGTON AVE MEDICAL PLAZA OPTICAL SUPPLIER
Organization subpart
No
Provider details
NPI number
Authorized official
JOBIE F CREAR M.D. (PRESIDENT)
(504) 592-9818
Entity
Organization
Contact information
Practice address
2121 MAGAZINE ST, 2121 MAGAZINE STREET, NEW ORLEANS, LA 70130-5045
(504) 592-9818
(504) 525-0152
Mailing address
2121 MAGAZINE STREET, 2121 MAGAZINE STREET, NEW ORLEANS, LA 70130-5045
(504) 592-9818
(504) 525-0152
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407593
OPTICAL SUPPLIER
LA
Enumeration date
07/23/2007
Last updated
08/03/2009
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