Organization
VISION ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY BAKOWSKI (OFFICE MANAGER)
(318) 227-2451
Entity
Organization
Contact information
Practice address
1133 ST. VINCENT AVE #216, SUITE 120 MALL ST. VINCENT, SHREVEPORT, LA 71104-4147
(318) 227-2451
(318) 227-2442
Mailing address
1133 ST. VINCENT AVE. #216, SUITE 120 MALL ST. VINCENT, SHREVEPORT, LA 71104-4147
(318) 227-2451
(318) 227-2442
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
LA
Other
Enumeration date
02/14/2007
Last updated
10/29/2010
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