| NPI | 1588103469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ROLAND ARDOIN Owner 985-876-6980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1544-574AT) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA 011428) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |