Organization
CHILDRENS VISION CENTER
Active
Organization
CHILDRENS VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MITCHELL OD (OWNER)
(985) 447-2396
Entity
Organization
Contact information
Practice address
302 RIDGEFIELD RD, THIBODAUX, LA 70301-2724
(985) 447-2396
Mailing address
302 RIDGEFIELD RD, THIBODAUX, LA 70301-2724
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
—
—
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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