Organization
ANTOON EYE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ELLIS ANTOON O.D. (PRESIDENT)
(318) 442-9572
Entity
Organization
Contact information
Practice address
329 EDGEWOOD DR, PINEVILLE, LA 71360-5444
(318) 442-9572
(318) 445-8857
Mailing address
329 EDGEWOOD DR, PINEVILLE, LA 71360-5444
(318) 442-9572
(318) 445-8857
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
737-099T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141640
—
LA
Enumeration date
12/21/2006
Last updated
06/14/2010
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