Individual
DR. CAMILE LOUIS CHIASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
900 N CANAL BLVD, THIBODAUX, LA 70301-8096
(985) 446-3276
(985) 446-3278
Mailing address
900 N CANAL BLVD, THIBODAUX, LA 70301-8096
(985) 446-3276
(985) 446-3278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
885189T
LA
207W00000X
Ophthalmology Physician
MD026103
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153010001
DME
LA
05
—
1312550
—
LA
01
—
2211B
BLUE CROSS
LA
Enumeration date
09/06/2006
Last updated
10/07/2009
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