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Organization

JENNIFER WANDELL

Active
Other names
EYE TO EYE VISION CARE
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER WANDELL OD (OPTOMETRIST)
(504) 813-5938
Entity
Organization

Contact information

Practice address
1076 CLIPPER DRIVE, SLIDELL, LA 70458
(504) 813-5938
Mailing address
1076 CLIPPER DRIVE, SLIDELL, LA 70458
(504) 813-5938

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1357 491T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265523278
NPI FOR JENNIFER WANDELL
LA
05
1475831
LA
Enumeration date
03/05/2007
Last updated
07/10/2008
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