Organization
J J LEE OPTICAL LLC
Active
Other names
J J Lee Optical LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE T. BUCKHALTER (CO OWNER/BOOK KEEPER)
(225) 664-5000
Entity
Organization
Contact information
Practice address
2317 S RANGE AVE, DENHAM SPRINGS, LA 70726-5217
(225) 664-5000
(225) 664-5998
Mailing address
2317 S RANGE AVE, DENHAM SPRINGS, LA 70726-5217
(225) 664-5000
(225) 664-5998
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
2146850001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473031
—
LA
Enumeration date
10/15/2007
Last updated
02/27/2008
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