Organization
EYE-DEAL OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY KENNEDY O.D. (OWNER/DOCTOR)
(504) 363-0146
Entity
Organization
Contact information
Practice address
3220 GENERAL DEGAULLE DR., SUITE 100, NEW ORLEANS, LA 70114
(504) 363-0146
(504) 364-9456
Mailing address
3220 GENERAL DEGAULLE DR., SUITE 100, NEW ORLEANS, LA 70114
(504) 363-0146
(504) 364-9456
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1103-115T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952834
—
LA
Enumeration date
07/29/2009
Last updated
09/22/2009
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