Whalio Doctors

NPI 1023345659

Dimaggio Family Eye Care, INC.

Organisation Optometrist Deridder, LA

Practice location

Address
1125 N Pine St, Deridder, LA 70634-2819
Phone
(337) 462-2015
Fax
(337) 462-2081
Mailing address
1299 Highway 3226, Deridder, LA 70634-9133

Authorised official

Name
Heather Dimaggio
Title
Secretary/Treasurer
Phone
(337) 463-6169

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1281-437T (LA)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1282-438T (LA)

Registry record

NPI
1023345659
Entity type
Organization
NPI issued
3 Nov 2009
Record last updated
3 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.