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 |