Organization
LOUISIANA STATE OPTICAL OF LAFAYETTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD J. TRICHE (SECRETARY-TREASURER)
(337) 477-3662
Entity
Organization
Contact information
Practice address
2813 JOHNSTON ST, LAFAYETTE, LA 70503-3243
(337) 232-1404
Mailing address
2813 JOHNSTON ST, LAFAYETTE, LA 70503-3243
(337) 232-1404
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199885
—
LA
Enumeration date
02/27/2007
Last updated
08/22/2020
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