# DR. CHARLES A NASSAUER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1275677783
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 919183T | LA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 07/12/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1380873 | — | LA |
| 01 | — | 721158167 | TAX PAY ID | LA |
| 01 | — | LA9183 | EYE MED ID | LA |
| 01 | — | LA99183 | VBA ID | LA |
| 01 | — | MN4126858 | HUMANA ID | LA |