| NPI | 1306116462 |
|---|---|
| Doing Business As | ST CHARLES VISION SEVERN |
| Entity Type | Organization |
| Authorized Contact | JANET DUPLESSIS Insurance Administrator 504-247-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1241-391T) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-06-13 |