Healthcare Provider Details

I. General information

NPI: 1619296399
Provider Name (Legal Business Name): RELIABLE EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2010
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 HOMER RD
MINDEN LA
71055-2933
US

IV. Provider business mailing address

421 HOMER RD
MINDEN LA
71055-2933
US

V. Phone/Fax

Practice location:
  • Phone: 318-377-4246
  • Fax: 318-377-4123
Mailing address:
  • Phone: 318-377-4246
  • Fax: 318-377-4123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1076-073T
License Number StateLA

VIII. Authorized Official

Name: REBECCA THURMAN
Title or Position: BILLING CLERK
Credential:
Phone: 318-377-4246