Organization
DERIDDER OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA INEZ WELCH (OPTICIAN)
(337) 463-9821
Entity
Organization
Contact information
Practice address
1509 N PINE ST STE A, DERIDDER, LA 70634-2417
(337) 463-9821
(337) 463-9821
Mailing address
1509 N PINE ST STE A, DERIDDER, LA 70634-2417
(337) 463-9821
(337) 463-9821
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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