Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW THIBODEAUX, OD
Active Sole ProprietorOptometrist · BOUTTE, LA
Registration Details
- NPI Number
- 1194249086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2017 (8.7519886846697 yrs)
- Last Updated
- Oct 26, 2020
- License
-
1859-793AT (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13322 HIGHWAY 90 STE LBOUTTE, LA, 700393010Browse LA providers · Browse ZIP 70039
- Phone
- 9857858484
- Fax
- 9857858483
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BOUTTE, LA
| Name | Credential | NPI |
|---|---|---|
| DR. JANIE TRAN | O.D. | 1609122217 |
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.