Organization
SEVERN EYECARE INC.
Active
Other names
St. Charles Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN B. BANK O.D. (DOCTOR/OWNER)
(504) 887-2020
Entity
Organization
Contact information
Practice address
3200 SEVERN AVE, SUITE 102, METAIRIE, LA 70002-4793
(504) 887-2020
(504) 887-7698
Mailing address
3200 SEVERN AVE, SUITE 102, METAIRIE, LA 70002-4793
(504) 887-2020
(504) 887-7698
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
930-108T
LA
Other
Enumeration date
05/05/2006
Last updated
02/14/2008
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