| NPI | 1326244880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD C FALGOUST Owner/Physician 337-477-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA MD1217R) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2011-10-14 |