| NPI | 1821250176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D GRIENER Owner 985-375-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-04-27 |