Healthcare Provider Details
I. General information
NPI: 1265522890
Provider Name (Legal Business Name): VISION CARE PLUS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2006
Last Update Date: 12/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1124 N HIGHWAY 190
COVINGTON LA
70433-5178
US
IV. Provider business mailing address
1124 N HIGHWAY 190
COVINGTON LA
70433-5178
US
V. Phone/Fax
- Phone: 985-893-2020
- Fax: 985-893-1675
- Phone: 985-893-2020
- Fax: 985-893-1675
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
O
BESSENT
Title or Position: OWNER
Credential: M.D.
Phone: 985-893-2020