Organization
TEASTER OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH Y. BENEFIELD (OWNER)
(318) 396-2440
Entity
Organization
Contact information
Practice address
3426 CYPRESS ST, WEST MONROE, LA 71291-7319
(318) 396-2440
(318) 397-2328
Mailing address
3426 CYPRESS ST, WEST MONROE, LA 71291-7319
(318) 396-2440
(318) 397-2328
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4905469-001
LA
Other
Enumeration date
05/09/2007
Last updated
07/18/2008
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