Provider Demographics
NPI:1437544178
Name:D M OSTRICK O D LLC
Entity Type:Organization
Organization Name:D M OSTRICK O D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OSTRICK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:504-455-1816
Mailing Address - Street 1:529 BROCKENBRAUGH CT
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2709
Mailing Address - Country:US
Mailing Address - Phone:504-669-1610
Mailing Address - Fax:504-887-7816
Practice Address - Street 1:1518 W AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:LA PLACE
Practice Address - State:LA
Practice Address - Zip Code:70068-3725
Practice Address - Country:US
Practice Address - Phone:985-652-4097
Practice Address - Fax:985-652-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty