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Organization

PEEPERS OPTICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT B WALLACE III (MEMBER)
(318) 448-4488
Entity
Organization

Contact information

Practice address
1424 PETERMAN DR, ALEXANDRIA, LA 71301-3432
(318) 448-4488
(318) 448-9731
Mailing address
4110 PARLIAMENT DR, ALEXANDRIA, LA 71303-2717
(318) 448-4488
(318) 448-9731

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
06/22/2009
Last updated
06/22/2009
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