| NPI | 1144690801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH EASTMAN FAWCETT Member/Manager/Optometrist 337-660-2628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1649-683T) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2019-08-27 |