Organization
EYE CLINIC A PROFESSIONAL MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS V MURRAY M.D. (PRESIDENT)
(337) 478-3810
Entity
Organization
Contact information
Practice address
1767 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 478-3810
(337) 478-6360
Mailing address
1767 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 478-3810
(337) 478-6360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126675
—
LA
Enumeration date
06/04/2006
Last updated
11/30/2022
Update your record
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