Organization
OPTICAL WEST INC
Active
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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