Individual
JUSTIN BUOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3501 HOLIDAY DR STE 201, NEW ORLEANS, LA 70114-8250
(504) 368-7081
Mailing address
3501 HOLIDAY DR STE 201, NEW ORLEANS, LA 70114-8250
(504) 368-7081
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2041-987AT
LA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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