Individual
SANICA J MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3995
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1633-667T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03486741
—
LA
05
—
2304666
—
LA
Enumeration date
08/02/2012
Last updated
12/11/2012
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