Individual
DR. OLIVER WENDELL WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1580 W CAUSEWAY APPROACH, STE 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
810300T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1176923
—
LA
Enumeration date
06/22/2005
Last updated
12/19/2010
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