Organization
VISION CENTER OF THE SOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELINE MAXINE BORNE O.D. (PRESIDENT/OWNER-OPTOMETRIST)
(504) 482-1290
Entity
Organization
Contact information
Practice address
4200 CANAL ST, SUITE D, NEW ORLEANS, LA 70119-5984
(504) 482-1290
(504) 482-1292
Mailing address
4200 CANAL ST, SUITE D, NEW ORLEANS, LA 70119-5984
(504) 482-1290
(504) 482-1292
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1007-345T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1363863
—
LA
Enumeration date
09/10/2009
Last updated
09/10/2009
Update your record
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