| NPI | 1740493089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON T VIATOR Clinic Administrator 225-768-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: LA 22377) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |