| Thibodaux Vision Center Inc | |
|
640 St Charles St, Thibodaux, LA 70301 | |
| (985) 446-1717 | |
| (985) 446-9542 |
| Full Name | Thibodaux Vision Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 640 St Charles St, Thibodaux, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568634038 | NPI | - | NPPES |
| 1128015 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1354488T (Louisiana) | Primary |
| Provider Name | Mark J Roy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851360424 PECOS PAC ID: 3678768744 Enrollment ID: I20120127000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Thibodaux Vision Center Inc Po Box 72, Thibodaux, LA 70301-0072 Ph: (985) 446-1717 | Thibodaux Vision Center Inc 640 St Charles St, Thibodaux, LA 70301 Ph: (985) 446-1717 |
Dr. Camile Louis Chiasson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 900 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-3276 Fax: 985-446-3278 | |
Dexter Hebert, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-3276 | |
Dr. Lisa L Mitchell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 Saint Mary St, Thibodaux, LA 70301 Phone: 985-447-2393 | |
Chiasson Eyecare Center Optometrist Medicare: Medicare Enrolled Practice Location: 318 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-3276 Fax: 985-446-3278 | |
Dr. Jenaye Marie Deroche, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 Saint Mary St, Thibodaux, LA 70301 Phone: 985-447-2393 Fax: 985-262-7095 | |
Dr. Ha Huynh, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 N Canal Blvd, Thibodaux, LA 70301 Phone: 985-446-3276 | |
Mitchell Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 425 Saint Mary St, Thibodaux, LA 70301 Phone: 985-447-2393 Fax: 985-447-2399 |