Organization
EYES ON LASALLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE ANTONIA JACKSON OD (OWNER)
(985) 966-5029
Entity
Organization
Contact information
Practice address
2700 LASALLE ST, NEW ORLEANS, LA 70113-2620
(504) 237-7042
Mailing address
8203 PLUM ST, NEW ORLEANS, LA 70118-2013
(504) 237-7042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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