Organization
THE OPTICAL SHOPPE
Active
Parent organization
EYE PHYSICIANS & SURGEONS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE PHYSICIANS & SURGEONS, INC
Authorized official
DR. MICHAEL LEONARD FAJONI M.D. (PRESIDENT)
(985) 345-0050
Entity
Organization
Contact information
Practice address
1615 SW RAILROAD AVE, HAMMOND, LA 70403-6113
(985) 345-1513
(985) 345-5800
Mailing address
PO BOX 2988, HAMMOND, LA 70404-2988
(985) 345-0050
(985) 345-5800
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980421
—
LA
Enumeration date
04/01/2008
Last updated
05/15/2009
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