| NPI | 1215120191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL JOSEPH CARNAGGIO Owner 225-924-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 131-131T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1405-545T) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2019-02-20 |