NPI | 1396068045 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH MICHEAL MENARD Owner/Manager/Optometrist 337-842-8344 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 1369-514T) |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |