Highland Clinic Optical Shop, LLC
NPI #1255320123 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1255320123
- Entity Type
- Organization
- Organization Name
- Highland Clinic Optical Shop, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 13, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1455 E BERT KOUNS LOOP
- Address 2
- SUITE #300
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5634
- Phone
- (318) 798-4614
Authorized Official
- Name
- BECKY ANN SMITH
- Title
- CREDENTIALING SPECIALIST
- Phone
- (318) 798-4539
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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