NPI 1366610933

Diane W Whaley on the Go Optical Service

Organisation Optician Bossier City, LA

Practice location

Address: 2801 Northside Dr STE B, Bossier City, LA 71111-5810
Phone: (318) 747-9227
Mailing address: 2801 Northside Dr STE 9, Bossier City, LA 71111-1700

Authorised official

Name: Diane Wade Whaley
Title: Owner/Optician
Phone: (318) 747-9227

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Louisiana →

Registry record

NPI: 1366610933
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 1 Jun 2010

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.