NPI | 1477943868 |
---|---|
Doing Business As | SOUTHERN EYE INSTITUTE |
Entity Type | Organization |
Authorized Contact | KEITH E KELLUM Owner 985-872-5577 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 022476) |
Enumeration Date | 2015-01-23 |
Last Update Date | 2024-05-15 |