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 |