| NPI | 1770617342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMITH Owner 337-474-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: LA 904-130T) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2022-03-15 |