DICK WHITAKER

Dr DICK WHITAKER is a male medical professional, specializing in Optometry. He graduated in 1989 from Southern College Of Optometry.

Contact

210 SERIO BLVD
FERRIDAY
LA
713342015

Tel: 3187573440

DICK WHITAKER Information

Npi 1235212457
Pac Id 6800963893
Professional Enrollment Id I20080917000016
Last Name WHITAKER
First Name DICK
Middle Name
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1989
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 210 SERIO BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FERRIDAY
State LA
Zip Code 713342015
Phone Number 3187573440
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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