Organization
DR. PATRICK FONTENOT OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MARTIN FONTENOT OD (OPTOMETRIST)
(337) 625-9075
Entity
Organization
Contact information
Practice address
525 N. CITIES SERVICE HWY WALMART VISION CENTER, SULPHUR, LA 70663-4107
(337) 625-9075
(337) 625-8105
Mailing address
525 N. CITIES SERVICE HWY WALMART VISION CENTER, SULPHUR, LA 70663-4107
(337) 625-9075
(337) 625-8105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346318
—
LA
Enumeration date
12/11/2019
Last updated
12/13/2019
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