Individual
CHARLES ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5110 JEFFERSON HWY, HARAHAN, LA 70123-5302
(504) 818-1463
(504) 818-2664
Mailing address
5110 JEFFERSON HWY, HARAHAN, LA 70123-5302
(504) 818-1463
(504) 818-2664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1008-138T
LA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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