David Dixon Golden, Od, Pa | |
110 Main St, Logansport, LA 71049-2996 | |
(936) 564-2634 | |
Not Available |
Full Name | David Dixon Golden, Od, Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 110 Main St, Logansport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124148705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | David D Golden |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568468585 PECOS PAC ID: 8820136807 Enrollment ID: I20091111000621 |
Provider Name | Melanie M Vardeman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669589081 PECOS PAC ID: 9436291150 Enrollment ID: I20100119000456 |
Provider Name | Carmen B Mackey |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144474404 PECOS PAC ID: 4183766645 Enrollment ID: I20100121000210 |
Provider Name | Heather Swearengen Ihlo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871089540 PECOS PAC ID: 5991053621 Enrollment ID: I20180813000353 |
Provider Name | Jessica A Tibbs |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295406262 PECOS PAC ID: 7719385947 Enrollment ID: I20211001001680 |
Mailing Address | Practice Location Address |
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David Dixon Golden, Od, Pa Po Box 399, Logansport, LA 71049-0399 Ph: (936) 564-2634 | David Dixon Golden, Od, Pa 110 Main St, Logansport, LA 71049-2996 Ph: (936) 564-2634 |
Dennis D Golden Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Logansport, LA 71049 Phone: 832-934-1166 Fax: 832-934-1161 |