| NPI | 1720694268 |
|---|---|
| Doing Business As | SHENANDOAH EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CORY BOUDREAUX Owner/Optometrist 225-270-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |