| NPI | 1063983351 |
|---|---|
| Doing Business As | LOUISIANA EYE AND LASER |
| Entity Type | Organization |
| Authorized Contact | OCTAVIA JACKSON WILLIAMS Credentialing Specialist 318-561-0946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2022-01-19 |