| NPI | 1952543076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD C. FALGOUST Physician/Owner 337-477-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 12137R) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2011-12-19 |