OrganizationActive
Bluebonnet Vision
NPI 1801960919 · Optometrist · Baton Rouge, LA
Provider details
- NPI number
- 1801960919
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jeffery Dibenedetto, Owner/Ceo(225) 291-2414
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
- Pediatric Optometrist152WP0200X
Eye and Vision Services Providers
- Eyewear Supplier332H00000X
Suppliers
Practice location
4451 Bluebonnet Blvd
Suite C
Baton Rouge, LA 70809-9639
Phone: (225) 291-2414
Fax: (225) 291-2418
Approximate (ZIP-level) locationGet directions
Mailing address
4451 Bluebonnet Blvd
Baton Rouge, LA 70809-9639
Other names (DBA / former)
- Former legal business name
- Bluebonnet Vision LLC
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2009-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.