OrganizationActive
M. Dwayne Yeager, OD, Faao, a Professional Organization
NPI 1407156847 · Prosthetic/Orthotic Supplier · West Monroe, LA
Provider details
- NPI number
- 1407156847
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- M Yeager, Optometrist(318) 325-3937
- License
- 1020-199T (LA)
Specialties & taxonomies
Suppliers
Practice location
3805 Cypress St
West Monroe, LA 71291-7436
Phone: (318) 325-3937
Fax: (318) 397-9717
Approximate (ZIP-level) locationGet directions
Mailing address
3805 Cypress St
West Monroe, LA 71291-7436
Registry dates
- Enumerated
- 2010-11-02
- Last updated
- 2010-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.