Individual
LARRY GEOFFROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 S MAIN ST, STE E, SAINT MARTINVILLE, LA 70582-4544
(337) 394-5595
(337) 394-5597
Mailing address
400 S MAIN ST, STE E, SAINT MARTINVILLE, LA 70582-4544
(337) 394-5595
(337) 394-5597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
959-228T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1344061
—
LA
Enumeration date
07/05/2006
Last updated
01/27/2009
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