NPI 1457300261

Gary James Avallone, OD

Practitioner Optometrist Ruston, LA

Practice location

Address: 911 Tech Drive, Ruston, LA 71270-0701
Phone: (318) 251-9095
Fax: (318) 251-1705
Mailing address: 144 Fox Run, West Monroe, LA 71291-8137

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 927-032T (LA)

Other Optometrist providers in Louisiana →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3151T (TX)

Registry record

NPI: 1457300261
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2006
Record last updated: 18 Sep 2008

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.