| NPI | 1154627586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S SILBERNAGEL Owner 985-892-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1057-267T) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |