Organization
PAUL B DUPONT'S OPTICAL WORLD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BRADLEY DUPONT O.D. (OWNER)
(318) 442-4230
Entity
Organization
Contact information
Practice address
4020 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2701
(318) 442-4230
(318) 442-9537
Mailing address
4020 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2701
(318) 442-4230
(318) 442-9537
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
LA978-263T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397997
—
LA
Enumeration date
08/10/2009
Last updated
08/13/2009
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