IndividualActive
Charles Elliott
NPI 1558034538 · Optometrist · Harahan, LA
Provider details
- NPI number
- 1558034538
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1008-138T (LA)
Practice location
5110 Jefferson Hwy
Harahan, LA 70123-5302
Phone: (504) 818-1463
Fax: (504) 818-2664
Mailing address
5110 Jefferson Hwy
Harahan, LA 70123-5302
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2021-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.