NPI | 1700147931 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH CARTER MOSS Owner/Optometrist 318-387-5657 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1559-591T) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2012-10-02 |