St. Charles Vision Outlet Mandeville, LLC
NPI #1952428005 in Mandeville, Louisiana
Provider Information
- NPI Number
- 1952428005
- Entity Type
- Organization
- Organization Name
- St. Charles Vision Outlet Mandeville, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jun 11, 2014
Practice Location
- Address
- 1844 N. CAUSEWAY BLVD.
- City
- Mandeville
- State
- Louisiana
- ZIP Code
- 70471
- Phone
- (985) 626-8103
Authorized Official
- Name
- MRS. KRISTY G ROUSSEL
- Title
- OFFICE MANAGER
- Phone
- (985) 626-8103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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