NPI 1750662474

Eddie Dale McClure, OPTICIAN

Practitioner Optician Baton Rouge, LA

Practice location

Address: 5368 Kennesaw Dr, Baton Rouge, LA 70817-2555
Phone: (225) 753-0441
Fax: (225) 753-3320
Mailing address: 3153 E Texas St, Bossier City, LA 71111-3209

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 10-00013656 (LA)

Other Technician/Technologist providers in Louisiana →

Registry record

NPI: 1750662474
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2011
Record last updated: 8 Sep 2011

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.