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Organization
DR. PATRICK FONTENOT OD, LLC
Active
Organization
DR. PATRICK FONTENOT OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MARTIN FONTENOT OD (OPTOMETRIST)
(337) 625-9075
Entity
Organization
Contact information
Practice address
525 N. CITIES SERVICE HWY WALMART VISION CENTER, SULPHUR, LA 70663-4107
(337) 625-9075
(337) 625-8105
Mailing address
525 N. CITIES SERVICE HWY WALMART VISION CENTER, SULPHUR, LA 70663-4107
(337) 625-9075
(337) 625-8105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346318
—
LA
Enumeration date
12/11/2019
Last updated
12/13/2019
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