Provider Demographics
NPI:1407040215
Name:HIMEL OPTICAL INC
Entity Type:Organization
Organization Name:HIMEL OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVIGE
Authorized Official - Middle Name:T
Authorized Official - Last Name:HIMEL
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED OPTICIAN
Authorized Official - Phone:985-868-9871
Mailing Address - Street 1:855 BELANGER STREET
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4463
Mailing Address - Country:US
Mailing Address - Phone:985-868-9871
Mailing Address - Fax:985-868-9872
Practice Address - Street 1:855 BELANGER ST
Practice Address - Street 2:SUITE 100-A
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4463
Practice Address - Country:US
Practice Address - Phone:985-868-9871
Practice Address - Fax:985-868-9872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0157800001Medicare PIN
LA0157800001Medicare NSC