| NPI | 1295558351 |
|---|---|
| Doing Business As | CENLA VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | ALAYNA JORDAN BROWN Owner/Provider 318-442-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |