Aelc Leesville Optical, LLC

NPI #1023332145 in Leesville, Louisiana

Provider Information

NPI Number: 1023332145
Entity Type: Organization
Organization Name: Aelc Leesville Optical, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 18, 2010
Last Updated: Mar 18, 2010

Practice Location

Address: 1106 PORT ARTHUR TERRACE
City: Leesville
State: Louisiana
ZIP Code: 71446-4636
Phone: (337) 392-1994

Authorized Official

Name: DR. MICHAEL ARTHUR REDMOND, M.D.
Title: PHYSICIAN/OWNER/PARTNER
Phone: (318) 487-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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