Rivertown Optical Llc

LBN: Rivertown Optical Llc
Rivertown Optical Llc is an health care organization with primary practice located at 401 Pontchartrain Drive Ste A , Slidell LA 70458. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Rivertown Optical Llc can be contacted via phone (985) 641-1195, or through Favre, Marion Pollet via phone (985) 641-1195.

Contact Information

Primary practice address
401 Pontchartrain Drive Ste A Slidell LA 70458
Phone: (985) 641-1195
Fax: (985) 641-1193
Website:
Map and Directions
Authorized official contact:
Name: Favre, Marion Pollet
Phone: (985) 641-1195

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1750060034
LBN Legal business name Rivertown Optical Llc
DBA Doing business as
Authorized official Favre, Marion Pollet
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 14th, 2023
Last updated Jul 14th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750060034 NPPES
Louisiana MEDICAID 1541176

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