| NPI | 1245428275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KAY PASTILONG President 318-747-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1197 365T) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2012-10-23 |