Organization
DILLINGHAM OPTICAL DISPENSARY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN DILLINGHAM (OWNER)
(318) 255-0817
Entity
Organization
Contact information
Practice address
1812 ROSELAWN AVE, MONROE, LA 71201-5434
(318) 387-1602
(318) 325-9425
Mailing address
1812 ROSELAWN AVE, MONROE, LA 71201-5434
(318) 387-1602
(318) 325-9425
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005509
—
LA
Enumeration date
01/09/2007
Last updated
03/21/2012
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