| 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 |