Individual
J. STEPHEN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
611 E ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6702
(337) 365-6607
(337) 365-6645
Mailing address
611 E ADMIRAL DOYLE DR, NEW IBERIA, LA 70560-6702
(337) 365-6607
(337) 365-6645
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
832-093T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382540
—
LA
Enumeration date
02/01/2007
Last updated
07/08/2007
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