Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OTIS J BOURG JR., O. D.
Active Sole ProprietorDR. OTIS J BOURG JR., O. D. is a Optometrist healthcare provider located in HOUMA, Louisiana. NPI 1114009313 is currently active in the NPPES registry. Verify at CMS.
Optometrist · HOUMA, LA
Registration Details
- NPI Number
- 1114009313
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.630133954546 yrs)
- Last Updated
- Mar 11, 2009
- License
-
LA666265T (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
832 BELANGER STHOUMA, LA, 703604408Browse LA providers · Browse ZIP 70360
- Phone
- 9858721494
- Fax
- 9855804422
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in HOUMA, LA
| Name | Credential | NPI |
|---|---|---|
| DR. LOUIS ARNOLD CLOUTIER JR. | O.D. | 1649248774 |
| SHELLEY HUFF | OD | 1073563433 |
| MS. VIVIAN MARIE FOUNTAIN | O.D. | 1790877413 |
| PHILIP RICE | OD | 1255494662 |
| MICHELLE F SONNIER | O.D. | 1144360959 |
| MICHAEL ALAN CUMMINGS | OD | 1497931687 |
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.