Organization
MILLIKEN EYE CARE, LLC
Active
Other names
Miss Lou Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ANDERS (MANAGER)
(601) 443-9876
Entity
Organization
Contact information
Practice address
202 ADVOCATE ROW, VIDALIA, LA 71373-3000
(601) 443-9876
(601) 442-4000
Mailing address
202 ADVOCATE ROW, VIDALIA, LA 71373-3000
(601) 443-9876
(601) 442-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
792
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005352884
—
MS
05
—
09825097
—
MS
Enumeration date
09/11/2012
Last updated
05/28/2024
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