Organization
OLIVER WENDALL WHITNEY A PROFESSIONAL OPTOMETRY CORP (APOC)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLIVER WENDELL WHITNEY O.D. (PRESIDENT)
(985) 626-5242
Entity
Organization
Contact information
Practice address
1580 W CAUSEWAY APPROACH, SUITE 3, MANDEVILLE, LA 70471-3033
(985) 626-5242
Mailing address
PO BOX 879, MANDEVILLE, LA 70470-0879
(985) 626-5242
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
810300
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1176923
—
LA
Enumeration date
05/29/2009
Last updated
01/25/2011
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