NPI 1114022175

Michael David Pickering, OD

Practitioner Optometrist Shreveport, LA

Practice location

Address: 5848 Line Ave, Shreveport, LA 71106-1532
Phone: (318) 865-0017
Fax: (318) 868-4738

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 963-247T (LA)

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Registry record

NPI: 1114022175
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2006
Record last updated: 5 Dec 2013

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.