| NPI | 1366919375 |
|---|---|
| Doing Business As | SHENANDOAH EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE CONNORTON Optometrist 225-755-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |