OPTICAL SHOP OF ACADIANA NPI 1740339035

NPI Information

NPI: 1740339035
Provider Name: OPTICAL SHOP OF ACADIANA
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
500 SAINT LANDRY ST
LAFAYETTE, LA
ZIP 70506
Phone: (337) 235-4665
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OPTICAL SHOP OF ACADIANA is a customized equipment durable medical equipment medical supplies in Lafayette, LA. OPTICAL SHOP OF ACADIANA NPI is 1740339035. The provider is registered as an organization entity type.

The provider's business location address is:

500 SAINT LANDRY ST
LAFAYETTE, LA
ZIP 70506-626
Phone: (337) 235-4665
Fax: (337) 235-0246

The provider's authorized official is Jacqueline G Ipson .
The authorized official title is Office Manager and has the following contact phone number (337) 235-4665.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 2/14/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1476633	MEDICAID	LOUISIANA
2	4302960001	MEDICARE ID-TYPE UNSPECIFIED	LOUISIANA

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

NPI Synchronization or Removal

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