NPI | 1235385873 |
---|---|
Doing Business As | ST. CHARLES VISION OUTLET |
Entity Type | Organization |
Authorized Contact | TIMOTHY LEACH Partner/Optometrist 504-866-7352 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
Enumeration Date | 2008-08-14 |
Last Update Date | 2012-01-04 |