| NPI | 1205028057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD E MARIONNEAUX Optometrist Owner 318-435-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 712 014 T) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-01-28 |