Theriot, Pamela Elaine
Theriot, Pamela Elaine is an individual health care provider with primary practice located at 451 Ashley Ridge Blvd , Shreveport LA 71106-7229. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Theriot, Pamela Elaine can be contacted via phone (318) 222-5555.Contact Information
Primary practice address
451 Ashley Ridge Blvd
Shreveport LA 71106-7229
Phone: (318) 222-5555
Fax: (318) 222-6414
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 12195T | California |
Eye and Vision Services Providers / Optometrist | 152W00000X | 1805-739 | Louisiana |
Eye and Vision Services Providers / Optometrist | 152W00000X | 551 | New Mexico |
Eye and Vision Services Providers / Optometrist | 152W00000X | 1592 | Arizona |
Eye and Vision Services Providers / Optometrist | 152W00000X | 6697T | Texas |
Profile Details
NPI number | 1194823336 |
---|---|
LBN Legal business name | Theriot, Pamela Elaine |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2006 |
Last updated | Jul 26th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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