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Organization

RETINA & VITREOUS OF LOUISIANA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN T. COUVILLION M.D. (PRESIDENT)
(225) 768-8833
Entity
Organization

Contact information

Practice address
10202 JEFFERSON HWY STE D, BATON ROUGE, LA 70809-3183
(225) 768-8833
(225) 769-4839
Mailing address
10202 JEFFERSON HWY STE D, BATON ROUGE, LA 70809-3183
(225) 768-8833
(225) 769-4839

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
021851
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009113
LA
Enumeration date
04/11/2007
Last updated
10/11/2018
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