Provider Demographics
NPI:1851979660
Name:ARMAND, TERRY
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:
Last Name:ARMAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:MANSURA
Mailing Address - State:LA
Mailing Address - Zip Code:71350-0412
Mailing Address - Country:US
Mailing Address - Phone:318-447-7310
Mailing Address - Fax:
Practice Address - Street 1:312 ACTON RD STE B
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2936
Practice Address - Country:US
Practice Address - Phone:318-597-5117
Practice Address - Fax:318-597-5119
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician