Organization
C J POLLET, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C J POLLET O.D. (OWNER)
(985) 626-8744
Entity
Organization
Contact information
Practice address
3421 HIGHWAY 190, MANDEVILLE, LA 70471-3101
(985) 626-8744
(985) 626-5244
Mailing address
3421 HIGHWAY 190, MANDEVILLE, LA 70471-3101
(985) 626-8744
(985) 626-5244
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
986-117T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382965
—
LA
01
—
T19443
UPIN
—
Enumeration date
03/28/2012
Last updated
06/06/2013
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