Organization
ASHLEY'S OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MONIQUE WATERS (OWNER)
(225) 775-9406
Entity
Organization
Contact information
Practice address
13131 PLANK RD, BAKER, LA 70714
(225) 775-9406
(225) 775-0258
Mailing address
13131 PLANK RD, BAKER, LA 70714-4914
(225) 775-9406
(225) 775-0258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978884
—
LA
Enumeration date
06/16/2015
Last updated
01/22/2021
Update your record
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