Individual
JERRY AUBREY HOLLIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
110 W ROBERT ST, HAMMOND, LA 70401-3227
(985) 345-0607
(985) 345-0490
Mailing address
110 W ROBERT ST, HAMMOND, LA 70401-3227
(985) 345-0607
(985) 345-0490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
739-066T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1131440
—
LA
Enumeration date
07/24/2006
Last updated
07/08/2007
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