Organization
PIERCE OPTOMETRY, LLC
Active
Other names
NORTHSIDE EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HOWARD PIERCE JR. O.D. (OWNER)
(318) 251-3626
Entity
Organization
Contact information
Practice address
116 KILLGORE RD, SUITE 1, RUSTON, LA 71270-7084
(318) 251-3626
(318) 251-3330
Mailing address
116 KILLGORE RD, SUITE 1, RUSTON, LA 71270-7084
(318) 251-3626
(318) 251-3330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1000-294T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1550418
—
LA
01
—
T7623
BLUE CROSS AND BLUE SHIELD
LA
Enumeration date
03/15/2006
Last updated
06/09/2016
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