| NPI | 1942487087 |
|---|---|
| Other Name | SURLES OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MARY LORD Office Manager 318-387-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 19643) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 717127T) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2011-02-17 |