Organization
PARADISE OPTICAL & GIFTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD C. FALGOUST M.D. (PHYSICIAN/OWNER)
(337) 477-0963
Entity
Organization
Contact information
Practice address
1980 TYBEE ST, LAKE CHARLES, LA 70605-4173
(337) 477-0963
(337) 477-1912
Mailing address
PO BOX 4765, LAKE CHARLES, LA 70606-4765
(337) 477-0963
(337) 477-1912
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
12137R
LA
Other
Enumeration date
04/03/2009
Last updated
12/19/2011
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