DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DIANE WADE WHALEY, ABOC

Active Sole Proprietor

MRS. DIANE WADE WHALEY, ABOC is a Optician, Dispensing healthcare provider located in BOSSIER CITY, Louisiana. NPI 1912912395 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · BOSSIER CITY, LA

Registration Details

NPI Number
1912912395
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2006 (20.057242904408 yrs)
Last Updated
Feb 4, 2008
Sole Proprietor
Yes

Practice Information

Address
2353 AIRLINE DR
SUITE B
BOSSIER CITY, LA, 711115810
Browse LA providers · Browse ZIP 71111
Phone
3187479227
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in BOSSIER CITY, LA

Name Credential NPI
TAMMY PUSLOSKIE 1528409349
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.