Organization
THE HAMMOND EYE CLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN RICHARD PRADILLO O.D. (OWNER)
(985) 345-0607
Entity
Organization
Contact information
Practice address
110 W ROBERT ST, HAMMOND, LA 70401-3227
(985) 345-0607
(985) 345-0490
Mailing address
110 W ROBERT ST, HAMMOND, LA 70401-3227
(985) 345-0607
(985) 345-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1534-565T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949949
—
LA
Enumeration date
11/13/2006
Last updated
09/21/2012
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