Organization
LA OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D GRIENER M.D. (OWNER)
(985) 375-1110
Entity
Organization
Contact information
Practice address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 542-3336
(985) 542-0733
Mailing address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 542-3336
(985) 542-0733
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
88040235
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407615
—
LA
Enumeration date
05/11/2009
Last updated
10/15/2014
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