NPI | 1003009499 |
---|---|
Doing Business As | SOUTHERN EYE CENTER |
Entity Type | Organization |
Authorized Contact | ROGER FALCONER SHAW President 225-923-0909 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 754-055T) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2008-03-18 |