Organization
GRAND VISION LAFRENIERE, L.L.C.
Active
Parent organization
GRAND VISION, L.L.C.
Other names
Grand Vision
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRAND VISION, L.L.C.
Authorized official
DR. JOHN MUSSELMAN O.D. (OWNER)
(504) 322-7525
Entity
Organization
Contact information
Practice address
6601 VETERANS MEMORIAL BLVD, STE 19 - 21, METAIRIE, LA 70003-3943
(504) 322-7525
(504) 322-7529
Mailing address
6601 VETERANS MEMORIAL BLVD, STE 19 - 21, METAIRIE, LA 70003-3943
(504) 322-7525
(504) 322-7529
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
869112T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1950815
—
LA
Enumeration date
03/07/2011
Last updated
02/21/2014
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