Organization
SLIDELL OPTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONITA RUBLI CANNON (OWNER OPTICAL SHOP)
(985) 641-9767
Entity
Organization
Contact information
Practice address
2241 GAUSE BLVD, SLIDELL, LA 70461-4232
(985) 641-9767
(985) 641-9319
Mailing address
2241 GAUSE BLVD, SLIDELL, LA 70461-4232
(985) 641-9767
(985) 641-9319
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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