Organization
EXTENDED EYECARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LLOYD ZIEGLER O.D. (PRESIDENT)
(337) 781-3709
Entity
Organization
Contact information
Practice address
101 STRATFORD DR, LAFAYETTE, LA 70503-5062
(337) 781-3709
(337) 534-8252
Mailing address
101 STRATFORD DR, LAFAYETTE, LA 70503-5062
(337) 781-3709
(337) 534-8252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1283443T
LA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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