| 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 |