Diane W Whaley On the Go Optical Service
NPI #1366610933 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1366610933
- Entity Type
- Organization
- Organization Name
- Diane W Whaley On the Go Optical Service
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 15, 2008
- Last Updated
- Jun 1, 2010
Practice Location
- Address
- 2801 NORTHSIDE DR
- Address 2
- STE B
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-5810
- Phone
- (318) 747-9227
Authorized Official
- Name
- MRS. DIANE WADE WHALEY, ABOC
- Title
- OWNER/OPTICIAN
- Phone
- (318) 747-9227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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