| NPI | 1992983340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY E BLACKMON Optometrist/Owner 318-387-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 693-077T) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-04-24 |