| NPI | 1972735710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLAIRE TATE-BRASSEAUX Owner 337-407-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1542-573T) |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2022-10-12 |