| NPI | 1104376714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY MCLAUGHLIN Manager 504-258-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: 207W00000X) |
| Additional Taxonomies | 122300000X Dentist (Licence: 122300000X) |
| 156FX1100X Technician/Technologist, Ophthalmic (Licence: 156FX1100X) | |
| 207R00000X Internal Medicine (Licence: 207R00000X) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |