Organization
LAKESIDE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE DYER (OFFICE MANAGER)
(337) 433-3231
Entity
Organization
Contact information
Practice address
1920 W SALE RD, BLDG. F, STE. 3, LAKE CHARLES, LA 70605-2400
(337) 433-3231
(337) 439-0185
Mailing address
1920 W SALE RD, BLDG. F, STE. 3, LAKE CHARLES, LA 70605-2400
(337) 433-3231
(337) 439-0185
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
015273
LA
Other
Enumeration date
09/16/2006
Last updated
10/27/2008
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