NPI | 1215121652 |
---|---|
Doing Business As | ADVANCED FAMILY EYECARE |
Entity Type | Organization |
Authorized Contact | SHANE B FONTENOT Owner 337-263-3058 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1540) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2023-07-25 |