Shelly Anastasio, O.D.
Optometrist in Covington, LA. Individual provider (NPI-1).
NPI number1407826464
StatusActive
Last updated in NPPESApr 26, 2013
Details
- NPI
- 1407826464
- Entity type
- Individual (NPI-1)
- Name
- Shelly Anastasio
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2006
- Last updated
- Apr 26, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1355-489T | LA | Yes |
Practice location
1431 Ochsner BlvdSuite A
Covington, LA 70433-8110
Phone 985-875-7898 · Fax 985-875-9844
Mailing address
1431 Ochsner BlvdSuite A
Covington, LA 70433-8110
Phone 985-875-7898 · Fax 985-875-9844
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