Organization
THE VISION STORE OF LAPLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP KURICA M.D. (OWNER)
(985) 652-3937
Entity
Organization
Contact information
Practice address
370 BELLE TERRE BLVD, LA PLACE, LA 70068-2435
(985) 652-3937
(984) 652-3941
Mailing address
370 BELLE TERRE BLVD, LA PLACE, LA 70068-2435
(985) 652-3937
(984) 652-3941
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
16584
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366251
—
LA
Enumeration date
03/05/2007
Last updated
02/12/2008
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