Organization
EYE PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRADY J. WILLIAMS (OWNER)
(337) 367-7777
Entity
Organization
Contact information
Practice address
501 S LEWIS ST, NEW IBERIA, LA 70560-4818
(337) 367-7777
Mailing address
501 S LEWIS ST, NEW IBERIA, LA 70560-4818
(337) 367-7777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
787-335T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1159697
—
LA
Enumeration date
03/07/2007
Last updated
01/23/2013
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