Organization
VISION OPTIQUE INC
Active
Parent organization
VISION OPTIQUE
Other names
Vision Optique C21
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISION OPTIQUE
Authorized official
MR. RODERICK A GRUENIG (PRESIDENT)
(985) 727-9948
Entity
Organization
Contact information
Practice address
70380 HIGHWAY 21, COVINGTON, LA 70433-8128
(985) 635-6996
Mailing address
PO BOX 1950, MANDEVILLE, LA 70470-1950
(985) 727-9948
(985) 237-6008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
11/21/2007
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