Organization
DR ELVIS SURLES A PROFESSIONAL OPTOMETRY CORPORATION
Active
Other names
Surles Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LORD (OFFICE MANAGER)
(318) 387-5657
Entity
Organization
Contact information
Practice address
2209 FORSYTHE AVE, MONROE, LA 71201-3643
(318) 387-5657
Mailing address
2209 FORSYTHE AVE, MONROE, LA 71201-3643
(318) 387-5657
(318) 325-8472
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
19643
LA
152W00000X
Optometrist
717127T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1946192
—
LA
Enumeration date
01/30/2008
Last updated
02/17/2011
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