Organization
J.S. FONTENOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J.S. FONTENOT O.D. (DOCTOR)
(337) 363-6060
Entity
Organization
Contact information
Practice address
111 CALCASIEU ST, VILLE PLATTE, LA 70586-4401
(337) 363-6060
(337) 363-3649
Mailing address
111 CALCASIEU ST, VILLE PLATTE, LA 70586-4401
(337) 363-6060
(337) 363-3649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
640286T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032204
—
LA
01
—
110944
EYEMED
LA
01
—
21236
BCBS
LA
Enumeration date
02/21/2008
Last updated
05/30/2008
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