Organization
SLIDELL EYE SPECIALISTS, APMC
Active
Other names
Eye Center Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL BRENNER (MANAGER)
(985) 649-0206
Entity
Organization
Contact information
Practice address
2050 GAUSE BLVD E STE 150, SLIDELL, LA 70461-5414
(985) 649-0206
(985) 649-4060
Mailing address
2050 GAUSE BLVD E STE 150, SLIDELL, LA 70461-5414
(985) 649-0206
(985) 649-4060
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113147
EYEMED
—
Enumeration date
03/21/2007
Last updated
02/11/2021
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