| NPI | 1154008027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS AVALLONE Owner 318-237-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0009X Ophthalmology, Glaucoma Specialist |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-09-18 |