Individual
SHELLY ANASTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1431 OCHSNER BLVD, SUITE A, COVINGTON, LA 70433-8110
(985) 875-7898
(985) 875-9844
Mailing address
1431 OCHSNER BLVD, SUITE A, COVINGTON, LA 70433-8110
(985) 875-7898
(985) 875-9844
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1355-489T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1150461
—
LA
Enumeration date
01/24/2006
Last updated
04/26/2013
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