| NPI | 1942694781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALLEN RICHARD Owner/Physician 337-224-7951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: LA MD.207614) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |