Organization
EYEMAX FAMILY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LYNN DECKER (OPTICAL STORE MANAGER)
(225) 262-8141
Entity
Organization
Contact information
Practice address
11424 SULLIVAN RD, BLDG A SUITE A, BATON ROUGE, LA 70818-3615
(225) 262-8141
(225) 262-8142
Mailing address
11424 SULLIVAN RD, BLDG A SUITE A, BATON ROUGE, LA 70818-3615
(225) 262-8141
(225) 262-8142
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6872006003
LA
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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