| NPI | 1194140475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH TRACEY DE LA RUA Office Manager 504-443-9485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 992-202T) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |