| NPI | 1114902251 |
|---|---|
| Doing Business As | ST. CHARLES VISION ELMWOOD |
| Entity Type | Organization |
| Authorized Contact | JANET DUPLESSIS Insurance Administrator 504-247-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1079242T) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2012-06-13 |