Organization
EXECUTIVE LOOK OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE A MURRAY (OWNER)
(504) 371-8044
Entity
Organization
Contact information
Practice address
2010 WOODMERE BLVD, SUITE H, HARVEY, LA 70058-2286
(504) 371-8044
Mailing address
2010 WOODMERE BLVD, SUITE H, HARVEY, LA 70058-2286
(504) 371-8044
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621871
—
LA
01
—
OP1601
EYEMED VISION CARE
—
Enumeration date
02/26/2007
Last updated
02/27/2012
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