NPI 1538336086

Mauro Leiva, OPTICIAN

Practitioner Optician Slidell, LA

Practice location

Address: 1850 Gause Blvd E Suite 303, Slidell, LA 70461-5434
Phone: (985) 646-4428
Fax: (985) 646-4426
Mailing address: 1850 Gause Blvd E Suite 303, Slidell, LA 70461-5442

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 22048 (LA)

Other Technician/Technologist providers in Louisiana →

Registry record

NPI: 1538336086
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2008
Record last updated: 14 May 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.