Ms. Vivian Marie Fountain is a Houma, Louisiana based female Optometrist who is specialized in Optometry. Active license number of Ms. Vivian Marie Fountain is 1804-738AT for Optometry in Louisiana. Ms. Vivian Marie Fountain examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Ms. Vivian Marie Fountain speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
130 Enterprise Dr, Houma, Louisiana, 70360-2443
Phone:
985-872-2020
Fax:
985-872-2069
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1790877413
NPI Enumeration Date:
29 Sep, 2006
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Vivian Marie Fountain are as mentioned below.
License Number
Specialization
State
Status
1804-738AT
Optometry
Louisiana
Primary
MS638
Optometry
Mississippi
Secondary
MS 638
Optometry
Mississippi
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Vivian Marie Fountain such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
94199
Other
Mississippi
TPA
MS 638
Other
Mississippi
STATE LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1950 Old Gallows Rd Ste 520, Vienna, Virginia
Zip:
22182-3970
Phone Number:
703-847-8899
Fax Number:
571-223-6780
Patients can reach Ms. Vivian Marie Fountain at 130 Enterprise Dr, Houma, Louisiana or can call to book an appointment on 985-872-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.