Provider Demographics
NPI:1932242898
Name:LAFLEUR EYE CLINIC LLC
Entity Type:Organization
Organization Name:LAFLEUR EYE CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONAVON
Authorized Official - Middle Name:NEIL
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:337-281-8226
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-0027
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:905 E 7TH AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-2797
Practice Address - Country:US
Practice Address - Phone:337-281-8226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1429-558T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty