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Contact Information

THIBODAUX VISION CENTER INC
640 ST CHARLES ST
THIBODAUX, LA70301
 Phone: 985-446-1717
 Fax: 985-446-9542
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for THIBODAUX VISION CENTER INC

NPI # 1568634038
LBN Legal business name THIBODAUX VISION CENTER INC
Authorized official MARK ROY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/25/2008
Last updated 03/25/2008 - About 18 years ago
Identifiers
LA License # 1354488T
LA Medicaid 1128015
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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