| Eyewear Boutique, Inc | |
|
232 N Union St, Opelousas, LA 70570-6208 | |
| (337) 948-9504 | |
| (337) 942-3545 |
| Full Name | Eyewear Boutique, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 232 N Union St, Opelousas, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023340114 | NPI | - | NPPES |
| 0158790001 | Other | LA | PTAN |
| 1477722460 | Other | LA | CIGNA/PALMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 793005T (Louisiana) | Primary |
| Provider Name | Randal V Christian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124083621 PECOS PAC ID: 6800929076 Enrollment ID: I20100809000970 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyewear Boutique, Inc 232 N Union St, Opelousas, LA 70570-6208 Ph: (337) 948-9504 | Eyewear Boutique, Inc 232 N Union St, Opelousas, LA 70570-6208 Ph: (337) 948-9504 |
Dr. Diana Tran, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4313 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-2024 | |
Sue Ellen Myers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4313 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-2024 Fax: 337-948-6216 | |
Dr. Randal V Christian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 232 N Union St, Opelousas, LA 70570 Phone: 337-948-9504 Fax: 337-942-3545 | |
Dr. Trichelle Melancon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1629 Creswell Ln Ext, Opelousas, LA 70570 Phone: 254-666-1960 | |
Barbara Pearce Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1629 E Creswell Lane, Opelousas, LA 70586 Phone: 337-942-4101 Fax: 337-942-4120 | |
Terry Lam Lu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4313 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-2024 |