Jeffrey David Boudreaux O.D.

NPI 1679601629 - Optometrist - 152W00000X

NPI Details
NPI 1679601629
Gender Male
Enumeration Date 03/01/2007
Last Updated 03/17/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
3810 AMBASSADOR CAFFERY PKWY
SUITE 700
LAFAYETTE LA, 70503-5259, US
Phone (337) 988-6442
Fax (337) 984-7571
Business Location
9551 ELLIOT RD
BATON ROUGE LA, 70817-7006, US
Phone (225) 755-7905
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 1233-399T
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According to our database, Dr. Jeffrey David Boudreaux O.D. NPI is 1679601629, taxonomy code is 152W00000X and license number is 1233-399T, license state is located at Louisiana. Jeffrey David Boudreaux O.D. physically located at 3810 Ambassador Caffery Pkwy, Lafayette LA, 70503-5259. NPI Number Jeffrey David Boudreaux O.D. has the Individual type.

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1679601629 NPI number is provided on an as is basis without warranty of any kind. 1679601629 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey David Boudreaux O.D. are for informational purposes only.