| NPI | 1124526371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA THERIOT Attorney/Manager 504-495-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |