Individual
DR. ANDREW G. ERNESTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1717 OAK PARK BLVD, SUITE 1, LAKE CHARLES, LA 70601-8991
(337) 478-3810
(337) 478-6360
Mailing address
1717 OAK PARK BLVD, SUITE 1, LAKE CHARLES, LA 70601-8991
(337) 478-3810
(337) 478-6360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1336-470T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111228
—
LA
Enumeration date
11/18/2005
Last updated
07/08/2007
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