Organization Name: | HAUGHTON VISION, LLC |
NPI Number: | 1558622563 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ASHLEY BRADFORD (MEMBER) |
Mailing Address: | 4615 Hwy 80 E #7 Haughton |
State: | LA US |
Postal Code: | 71037 |
Phone Number: | 3189496085 |
Fax Number: | 3189496084 |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 1586-619T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |