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Contact Information

CUSTOM OPTICAL N.O
2416 BENEFIT ST.
NEW ORLEANS, LA70122-4709
 Phone: 504-408-8771
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CUSTOM OPTICAL N.O

NPI Number 1811446636
LBN Legal business name CUSTOM OPTICAL N.O
Authorized official DERRICK PERIQUE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2016
Last updated 09/22/2016 - About 10 years ago
Identifiers n/a
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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