Individual
DEA BEKTESHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
471 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 795-4770
(318) 795-4775
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1949-885AT
LA
Other
Enumeration date
08/26/2021
Last updated
01/27/2025
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