| NPI | 1164642740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JAMES PICCIONE Physician 337-989-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA MD.09888R) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA LA 1392-523T) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-10-03 |