Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MITCHELL NEIL BROUSSARD, O.D.

Active

DR. MITCHELL NEIL BROUSSARD, O.D. is a Optometrist healthcare provider located in LAFAYETTE, Louisiana. NPI 1013904473 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LAFAYETTE, LA

Registration Details

NPI Number: 1013904473
Provider Type: Individual
Gender: Male
NPI Issued: Sep 30, 2005 (20.83173893421 yrs)
Last Updated: Feb 20, 2012
License: 1105-195T (LA)

Practice Information

Address: 5725 JOHNSTON ST

SUITE 2314

LAFAYETTE, LA, 705035315
Browse LA providers · Browse ZIP 70503
Phone: 3379842410
Fax: 3379842416
Primary Specialty: Optometrist
152W00000X

Other Optometrist Providers in LAFAYETTE, LA

Name	Credential	NPI
DR. WILLIAM DONNER MIZELLE	O.D.	1740252733
DR. TIMOTHY JOHN BARRY	O.D.	1043274947
DR. DONALD SCOTT JACOBSEN	OD	1679527444
DR. DAVID H. FISHER JR.	O.D.	1497798771
MRS. ERICA LUKASKO	O.D.	1326079575
DR. JOSEPH ANDREW ATKINS	O.D.	1346271384

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.