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SLIDELL OPTICS INC NPI 1689867350


NPI Information

NPI: 1689867350
Provider Name: SLIDELL OPTICS INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
2241 GAUSE BLVD
SLIDELL, LA
ZIP 70461
Phone: (985) 641-9767
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SLIDELL OPTICS INC is an eyewear supplier in Slidell, LA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SLIDELL OPTICS INC NPI is 1689867350. The provider is registered as an organization entity type.

The provider's business location address is:

2241 GAUSE BLVD
SLIDELL, LA
ZIP 70461-232
Phone: (985) 641-9767
Fax: (985) 641-9319

The provider's authorized official is Bonita Rubli Cannon .
The authorized official title is Owner Optical Shop and has the following contact phone number (985) 641-9767.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
149241MEDICARE PINLOUISIANA
20701710001MEDICARE NSCLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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