Organization
LA OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC DAMIAN GRIENER M.D. (OWNER)
(985) 542-3336
Entity
Organization
Contact information
Practice address
1011 N CAUSEWAY BLVD, SUITE 2, MANDEVILLE, LA 70471-3243
(985) 375-1109
(985) 727-0178
Mailing address
17170 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
(985) 375-1101
(985) 542-0733
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
88040235
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88040235
STATE LICENSE
LA
Enumeration date
10/24/2006
Last updated
06/16/2009
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