| NPI | 1225086689 |
|---|---|
| Doing Business As | ST. CHARLES VISION |
| Entity Type | Organization |
| Authorized Contact | IVAN B. BANK Doctor/Owner 504-887-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 930-108T) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-02-14 |