Healthcare Provider Details

I. General information

NPI: 1497878573
Provider Name (Legal Business Name): AZAR INSTRUMENTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 516 ST LANDRY STREET
LAFAYETTE LA
70506
US

IV. Provider business mailing address

514 516 ST LANDRY STREET
LAFAYETTE LA
70506
US

V. Phone/Fax

Practice location:
  • Phone: 337-235-7791
  • Fax: 337-234-8230
Mailing address:
  • Phone: 337-235-7791
  • Fax: 337-234-8230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MS. JACQUELINE G IPSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 337-233-5672