Organization
THOMAS VISION CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON MARK COWAN O.D. (OWNER)
(337) 239-2020
Entity
Organization
Contact information
Practice address
1100 N 5TH ST, LEESVILLE, LA 71446-2910
(337) 239-2020
(337) 239-0755
Mailing address
PO BOX 681, LEESVILLE, LA 71496-0681
(337) 239-2020
(337) 239-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
06/25/2010
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