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Individual

DR. CHARLES V. DILEO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1401 W ESPLANADE AVE, STE 2020, KENNER, LA 70065-2845
(504) 465-0085
(504) 465-0087
Mailing address
1401 W ESPLANADE AVE, STE 2020, KENNER, LA 70065-2845
(504) 465-0085
(504) 465-0087

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
934-223T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1900H1183Z
BLUECROSS BLUESHIELD OF L
LA
Enumeration date
03/27/2008
Last updated
08/20/2008
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