Individual
WAYNE ALLAN MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2710 RYAN ST, LAKE CHARLES, LA 70601-7328
(337) 494-1890
(337) 439-1650
Mailing address
2710 RYAN ST, LAKE CHARLES, LA 70601-7328
(337) 494-1890
(337) 439-1650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LA867-145T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1374075
—
LA
01
—
2470B
BLUE CROSS
LA
01
—
5406453
AETNA
LA
Enumeration date
08/03/2006
Last updated
07/08/2007
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