Organization
RIVERTOWN OPTICAL LLC
Active
Parent organization
RIVERTOWN OPTICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERTOWN OPTICAL LLC
Authorized official
MS. MARION POLLET FAVRE (OWNER)
(985) 641-1195
Entity
Organization
Contact information
Practice address
401 PONTCHARTRAIN DRIVE STE A, SLIDELL, LA 70458
(985) 641-1195
(985) 641-1193
Mailing address
401 PONTCHARTRAIN DRIVE STE A, SLIDELL, LA 70458
(985) 641-1195
(985) 641-1193
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1541176
—
LA
Enumeration date
07/14/2023
Last updated
07/14/2023
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