Doctor Name: | DR. PATRICK S TATE |
NPI Number: | 1235192485 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O. D. |
License Number: | 1094-298T |
Business Practice Address: | 4315 Church St Suite B Zachary, LA - 707914554 |
Business Phone Number: | 2256588283 |
Business Fax Number: | 2255708102 |
Mailing Address: | 4315 Church St, Suite B ZACHARY |
State: | LA |
Postal Code: | 707913101 |
Phone Number: | 2256588283 |
Fax Number: | 2255708102 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 09/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 1094-298T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |