Organization
THE VISUAL DIFFERENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER ANN FLOYD O.D. (OPTOMETRIST)
(318) 202-5845
Entity
Organization
Contact information
Practice address
303 N TRENTON ST, RUSTON, LA 71270-3805
(318) 202-5845
(318) 202-5847
Mailing address
303 N TRENTON ST, RUSTON, LA 71270-3805
(318) 202-5845
(318) 202-5847
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1285-436T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431362
—
LA
01
—
438255775C
BLUE CROSS
LA
Enumeration date
10/25/2006
Last updated
04/27/2010
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