Healthcare Provider Details

I. General information

NPI: 1679495006
Provider Name (Legal Business Name): REBECCA MCNEILL OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E NORTH ST
WINNFIELD LA
71483-3276
US

IV. Provider business mailing address

946 KEYSER AVE
NATCHITOCHES LA
71457-6266
US

V. Phone/Fax

Practice location:
  • Phone: 318-727-7040
  • Fax: 318-727-7041
Mailing address:
  • Phone: 318-357-8194
  • Fax: 318-352-3145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2087-034AT
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: