Individual
DR. PAMELA ELAINE THERIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
451 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 222-5555
(318) 222-6414
Mailing address
451 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 222-5555
(318) 222-6414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
12195T
CA
152W00000X
Optometrist
1592
AZ
152W00000X
Optometrist
Primary
1805-739
LA
152W00000X
Optometrist
551
NM
152W00000X
Optometrist
6697T
TX
Other
Enumeration date
09/20/2006
Last updated
07/26/2023
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