Organization
RPE,INC
Active
Other names
River Parishes Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD L. GRANGER O.D. (OWNER)
(225) 869-5043
Entity
Organization
Contact information
Practice address
10900 HIGHWAY 3125, STE F, LUTCHER, LA 70071-5639
(225) 869-5043
(225) 869-8400
Mailing address
10900 HIGHWAY 3125, STE F, LUTCHER, LA 70071-5639
(225) 869-5043
(225) 869-8400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
976-139T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360163
—
LA
Enumeration date
12/08/2010
Last updated
01/13/2011
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