Individual
JEFF M ANASTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1431 OCHSNER BLVD, SUITE A, COVINGTON, LA 70433-8110
(985) 875-7898
Mailing address
1431 OCHSNER BLVD, SUITE A, COVINGTON, LA 70433-8110
(985) 875-7898
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1316-452T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1553613
—
LA
Enumeration date
12/13/2006
Last updated
04/26/2013
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