| NPI | 1093851339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA C THOMAS Insurance And Billing Manager 985-748-8750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 977-254T) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2022-10-25 |