Individual
DR. JASON P ALLEMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2421 CHURCH ST, ZACHARY, LA 70791-2710
(225) 654-1061
Mailing address
2421 CHURCH ST, ZACHARY, LA 70791-2710
(225) 654-1061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1252406T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545945
—
LA
Enumeration date
06/17/2005
Last updated
08/07/2012
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