DUNCAN OPTICAL DISPENSARY INC (NPI# 1275670606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275670606 |
| Entity Type | Organization |
| Organization Name | DUNCAN OPTICAL DISPENSARY INC |
| Practice Address |
4843 Line Avenue Shreveport LA 71106-1529 |
| Practice Telephone | 3188693488 |
| Practice Fax Number | 3188693430 |
| Mailing Telephone | 3188693488 |
| Mailing Fax Number | 3188693430 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-05-18 |
| Authorized Official Name | MRS. PENNY C DUNCAN (OWNER) |
| Authorized Official Telephone | 3188693488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
4843 LINE AVENUE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689932899 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 7451 Youree Dr, Shreveport, LA 71105-5535 | 2012-04-25 |
| 1972821650 | Optical Zone LLC | Eyewear Supplier (Equipment, not the service) | 7607 Youree Dr, Shreveport, LA 71105-5501 | 2010-05-05 |
| 1518284488 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3601 S Eastern Ave, St Vincent Mall, Shreveport, LA 71104-4123 | 2010-04-30 |
| 1679769517 | Tri State Optical Co Inc | Eyewear Supplier (Equipment, not the service) | 1014 Creswell St, Tri State Optical, Shreveport, LA 71101 | 2007-09-24 |
| 1902949654 | Vision One | Eyewear Supplier (Equipment, not the service) | 1133 St. Vincent Ave #216, Suite 120 Mall St. Vincent, Shreveport, LA 71104-4147 | 2007-02-14 |
| 1346332236 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 1133 St. Vincent Avenue, Shreveport, LA 71104 | 2006-09-28 |
| 1497846554 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3601 Sern Ave, St Vincent Mall, Shreveport, LA 71104-4123 | 2006-09-27 |
| 1689043051 | Affinity Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2015-09-16 |
| 1053719005 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7020 Youree Dr, Suite A, Shreveport, LA 71105-5109 | 2014-12-08 |
| 1225301203 | Optical Zone, LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2012-02-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on DUNCAN OPTICAL DISPENSARY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.