Organization
THE OPTICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURO LEIVA (OPTICIAN/OWNER)
(504) 899-2263
Entity
Organization
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 750, NEW ORLEANS, LA 70115-6969
(504) 899-2263
(504) 899-2866
Mailing address
2820 NAPOLEON AVE, SUITE 750, NEW ORLEANS, LA 70115-6969
(504) 899-2263
(504) 899-2866
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
22048
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002
BLUE CROSS/BLUE SHIELD
LA
01
—
00003
HUMANA
LA
01
—
00004
CIGNA
MA
Enumeration date
12/29/2008
Last updated
12/29/2008
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