| St. Charles Vision Outlet Elmwood, Llc | |
|
837 S Clearview Pkwy, Jefferson, LA 70121-3119 | |
| (504) 733-0406 | |
| (504) 733-0801 |
| Full Name | St. Charles Vision Outlet Elmwood, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 837 S Clearview Pkwy, Jefferson, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114902251 | NPI | - | NPPES |
| 410026332 | Other | LA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1079242T (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| St. Charles Vision Outlet Elmwood, Llc 837 S Clearview Pkwy, Jefferson, LA 70121-3119 Ph: (504) 733-0406 | St. Charles Vision Outlet Elmwood, Llc 837 S Clearview Pkwy, Jefferson, LA 70121-3119 Ph: (504) 733-0406 |
Danyetta D Thomas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 866-624-7637 | |
Dr. Bach Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 837 S Clearview Pkwy, Jefferson, LA 70121 Phone: 504-733-0406 | |
Dr. James C Mcguinness, OD Optometrist Medicare: Medicare Enrolled Practice Location: 837 South Clearview Parkway, Jefferson, LA 70121 Phone: 504-733-0406 Fax: 504-733-0801 | |
Artis Beatty A Professional Optometry Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 837 S Clearview Pkwy, Jefferson, LA 70121 Phone: 504-230-0871 |