Organization
CRESCENT CITY VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON COUSIN PHARMD (OFFICER)
(504) 347-9988
Entity
Organization
Contact information
Practice address
5128 LAPALCO BLVD, SUITE H, MARRERO, LA 70072-4249
(504) 347-9988
(504) 347-5003
Mailing address
5128 LAPALCO BLVD, SUITE H, MARRERO, LA 70072-4249
(504) 347-9988
(504) 347-5003
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
15422
LA
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/14/2010
Last updated
02/14/2010
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