| NPI | 1568794782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMON COUSIN Officer 504-347-9988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 15422) |
| Enumeration Date | 2010-02-14 |
| Last Update Date | 2010-02-14 |