NPI 1194823336

Pamela Elaine Theriot, OD

Practitioner Optometrist Shreveport, LA

Practice location

Address: 451 Ashley Ridge Blvd, Shreveport, LA 71106-7229
Phone: (318) 222-5555
Fax: (318) 222-6414

Registered specialties (5)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1805-739 (LA)

Other Optometrist providers in Louisiana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 12195T (CA)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 551 (NM)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1592 (AZ)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 6697T (TX)

Registry record

NPI: 1194823336
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 26 Jul 2023

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.