Organization
NATCHITOCHES FAMILY EYE CARE LLC
Active
Other names
Center for Sight
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETE WARDELL OD (DIRECTOR)
(318) 357-8194
Entity
Organization
Contact information
Practice address
140 E 5TH ST, NATCHITOCHES, LA 71457-5725
(318) 357-8194
(318) 352-3145
Mailing address
140 E 5TH ST, NATCHITOCHES, LA 71457-5725
(318) 357-8194
(318) 352-3145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1419543T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407895
—
LA
01
—
5862720001
SUPPLIER (DME)
LA
Enumeration date
11/01/2006
Last updated
03/13/2008
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