NPI | 1962418301 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE LYNN SEBASTIAN Billing Manager 318-872-0747 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 025412) |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-07-31 |
Last Update Date | 2008-05-28 |