Organization
EYE CARE, INC
Active
Other names
Eye Care Optics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN M COULLARD O. D. (PRESIDENT)
(225) 654-3131
Entity
Organization
Contact information
Practice address
2421 CHURCH ST, ZACHARY, LA 70791-2710
(225) 654-3131
(225) 654-0791
Mailing address
PO BOX 602, ZACHARY, LA 70791-0602
(225) 654-3131
(225) 654-0791
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435988
—
LA
Enumeration date
11/16/2006
Last updated
08/22/2020
Update your record
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