Organization
OPTICAL WEST INC
Active
Other names
Dillingham Optical West Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN STEVEN DILLINGHAM (PRESIDENT)
(318) 387-4388
Entity
Organization
Contact information
Practice address
1110 NORTH 7TH, WEST MONROE, LA 71291
(318) 387-4388
(318) 387-4343
Mailing address
1110 NORTH 7TH, WEST MONROE, LA 71291
(318) 387-4388
(318) 387-4343
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343544
—
LA
Enumeration date
01/09/2007
Last updated
04/02/2012
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