Organization
KELLY EYE CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE S. WILLIAMS (OFFICE MANAGER)
(318) 797-6155
Entity
Organization
Contact information
Practice address
7020 YOUREE DR STE A, SHREVEPORT, LA 71105-5109
(318) 797-6155
(318) 797-6102
Mailing address
7020 YOUREE DR STE A, SHREVEPORT, LA 71105-5109
(318) 797-6155
(318) 797-6102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1343-477T
LA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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