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NPI Code Detail

MEDICARE: VISION ASSOCIATES INC

MEDICARE: VISION ASSOCIATES INC
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
1152W00000XOptometrist927-032TLA

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 : 1902933435
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION ASSOCIATES INC
Provider Business Mailing Address
First Line : 911 TECH DRIVE
Second Line :
City : RUSTON
State : LA
Zip : 71270-0701
Country : US
Telephone Number : 318-251-9095
Fax Number : 318-251-1705
Provider Business Practice Location Address
First Line : 911 TECH DRIVE
Second Line :
City : RUSTON
State : LA
Zip : 71270-0701
Country : US
Telephone Number : 318-251-9095
Fax Number : 318-251-1705
Authorized Official
Title or Position : SECRETARY TREASURER
Name : DR. GARY J AVALLONE
Credential : OD
Telephone Number : 318-251-9095
Provider Enumeration Date : 02/28/2007
Last Update Date : 12/23/2014

Similar Medicare Providers

1457300261 — DR. GARY JAMES AVALLONE OD
Practice Location Address:
911 TECH DRIVE
RUSTON, LA
71270-0701
Practice Phone: 318-251-9095
Practice Fax: 318-251-1705
1942380985 — DR. JIMMY N EATON O.D.
Practice Location Address:
911 TECH DR
RUSTON, LA
71270-0701
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Practice Fax:
1770781650 — DR. JOSHUA CALEB MANDRELL M.D.
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RUSTON, LA
71270-0701
Practice Phone: 318-265-6376
Practice Fax: 318-265-6377
1467635383 — LINZIE L HEBERT PA-C
Practice Location Address:
911 TECH DR
RUSTON, LA
71270-0701
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Practice Fax: 318-265-6377
1992465488 — GARRETT PRICE SOILEAU PA-C
Practice Location Address:
911 TECH DR
RUSTON, LA
71270-0701
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Directions to “VISION ASSOCIATES INC ” Practice Location

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