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NPI Code Detail

MEDICARE: DR. VINCENT OSCAR RACHAL OD

MEDICARE: DR. VINCENT OSCAR RACHAL OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist830260TLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699770404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT OSCAR RACHAL OD
Provider Business Mailing Address
First Line : 2308 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4643
Country : US
Telephone Number : 225-644-7525
Fax Number : 225-647-3710
Provider Business Practice Location Address
First Line : 2308 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4643
Country : US
Telephone Number : 225-644-7525
Fax Number : 225-647-3710
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 08/26/2008

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Directions to “ DR. VINCENT OSCAR RACHAL OD” Practice Location

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