| NPI | 1952428005 |
|---|---|
| Doing Business As | ST. CHARLES VISION |
| Entity Type | Organization |
| Authorized Contact | KRISTY G ROUSSEL Office Manager 985-626-8103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1318453t) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-06-11 |