# JENNIFER HOLLIDAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245504414
- **Authorized official:** DR. JENNIFER HOLLIDAY O.D. (OPTOMETRIST)
- **Authorized official phone:** (985) 690-6686

## Contact information

- **Practice address:** 167 NORTHSHORE BLVD, SLIDELL, LA 70460-6836
- **Practice address phone:** (985) 690-6686
- **Practice address fax:** (985) 690-6648
- **Mailing address:** 167 NORTHSHORE BLVD, SLIDELL, LA 70460-6836
- **Mailing address phone:** (985) 690-6686
- **Mailing address fax:** (985) 690-6648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1564-596T | LA | Yes |

## Other

- **Enumeration date:** 03/05/2012
- **Last updated:** 03/05/2012