Individual
DR. JOHN RAY BILELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16759 HIGHWAY 3235, STORE 502, GALLIANO, LA 70354
(985) 632-4747
Mailing address
524 BLAKE CT, THIBODAUX, LA 70301-3504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
774-212T
LA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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