Organization
BLACKMON & BLACKMON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY E BLACKMON OD (OPTOMETRIST/OWNER)
(318) 387-7257
Entity
Organization
Contact information
Practice address
303 MCMILLAN RD, WEST MONROE, LA 71291-8316
(318) 387-7257
(318) 325-7034
Mailing address
303 MCMILLAN RD, WEST MONROE, LA 71291-8316
(318) 387-7257
(318) 325-7034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
693-077T
LA
Other
Enumeration date
02/07/2008
Last updated
04/24/2008
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