NPI | 1730353152 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C RISINGER Owner / Optometrist 318-445-5319 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 723-001T) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2012-01-13 |