| NPI | 1154521672 |
|---|---|
| Doing Business As | WASHINGTON AVE MEDICAL PLAZA OPTICAL SUPPLIER |
| Entity Type | Organization |
| Authorized Contact | JOBIE F CREAR President 504-592-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2009-08-03 |