Individual
SUE ELLEN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4313 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0755
(337) 942-2024
(337) 948-6216
Mailing address
4313 I 49 S SERVICE RD, OPELOUSAS, LA 70570-0755
(337) 942-2024
(337) 948-6216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
993-236T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1354945
—
LA
Enumeration date
10/03/2005
Last updated
02/08/2010
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