NPI | 1982064630 |
---|---|
Doing Business As | EYES ON CANAL |
Entity Type | Organization |
Authorized Contact | MONIQUE JACKSON O PT Ometrist 504-237-7042 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1797-731AT) |
Enumeration Date | 2016-02-23 |
Last Update Date | 2016-02-23 |