Organization
EVANGELINE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM HOFFPAUIR (OWNER)
(337) 365-4893
Entity
Organization
Contact information
Practice address
306A N LEWIS ST, NEW IBERIA, LA 70563-2843
(337) 365-4893
(337) 365-4894
Mailing address
306A N LEWIS ST, NEW IBERIA, LA 70563-2843
(337) 365-4893
(337) 365-4894
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1128902
—
LA
Enumeration date
12/14/2006
Last updated
11/05/2014
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