Whalio Doctors

NPI 1013029305

Patrick Martin Fontenot, OD

Practitioner Optometrist Sulphur, LA

Practice location

Address
525 N Cities Service Hwy, Sulphur, LA 70663-4107
Phone
(337) 625-9075
Fax
(337) 625-8105
Mailing address
1766 Justin Ln, Lake Charles, LA 70605-7110

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1322457T (LA)

Registry record

NPI
1013029305
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.