St. Charles Vision Outlet Elmwood, Llc

NPI 1114902251 - Optometrist - 152W00000X

NPI Details
NPI 1114902251
Enumeration Date 12/13/2005
Last Updated 06/13/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JANET JANET
Position INSURANCE ADMINISTRATOR
Phone (504) 733-0406
Fax (504) 733-0801
Practice Location
837 S CLEARVIEW PKWY
JEFFERSON LA, 70121-3119, US
Phone (504) 733-0406
Fax (504) 733-0801
Business Location
837 S CLEARVIEW PKWY
JEFFERSON LA, 70121-3119, US
Phone (504) 733-0406
Fax (504) 733-0801
Toxanomy
Taxonomy Code 152W00000X
License State Louisiana
License Number 1079242T
Remove 1114902251 NPI Number
 

According to our database, St. Charles Vision Outlet Elmwood, Llc NPI is 1114902251, taxonomy code is 152W00000X and license number is 1079242T, license state is located at Louisiana. St. Charles Vision Outlet Elmwood, Llc physically located at 837 S Clearview Pkwy, Jefferson LA, 70121-3119. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1114902251 NPI number is provided on an as is basis without warranty of any kind. 1114902251 is maintained by the National Plan & Provider Enumeration System. The contents of St. Charles Vision Outlet Elmwood, Llc are for informational purposes only.