Organization
DR. CHARLES V. DILEO & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES V DILEO O.D. (OWNER)
(504) 465-0085
Entity
Organization
Contact information
Practice address
1401 W ESPLANADE AVE, SUITE 2020, KENNER, LA 70065-2845
(504) 465-0085
(504) 465-0447
Mailing address
1401 W ESPLANADE AVE, SUITE 2020, KENNER, LA 70065-2845
(504) 465-0085
(504) 465-0447
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
934-223T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900H1183Z
BLUECROSS BLUESHIELD OF LOUISIANA
LA
Enumeration date
09/21/2006
Last updated
08/27/2008
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