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Contact Information

DERRELL R SPURLOCK II, OD
421 HOMER RD
MINDEN, LA71055
 Phone: 318-377-4246
 Fax: 318-377-4123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DERRELL R SPURLOCK II · (Male)

NPI Number 1376506063
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/11/2006
Last updated 04/22/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 1076073T
  • LA Medicaid 1903540
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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