DR ELVIS SURLES A PROFESSIONAL OPTOMETRY CORPORATION
Optometry at Forsythe Ave, Monroe, LA

License number
Louisiana 19643
Category
Optometry
Type
Optometrist
License number
Louisiana 717127T
Category
Optometry
Type
Optometrist
Owner
Name: MRS. MARY LORD
Title: OFFICE MANAGER
Phone: (318) 387-5657
Address
Address
2209 Forsythe Ave, Monroe, LA 71201
National Provider ID: 1942487087
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. ELVIS SURLES, A PROFESSIONAL OPTOMETRY CORPORATION

Monroe, LA

Registration:
Oct 6, 1982
Addresses:
1871 Hudson Cir, Monroe, LA 71201 (Physical)
C/O Gary L Booth, Monroe, LA 71201 (Mailing)
State ID:
34002500D
Business type:
Business Corporation
Director:
Elvis Surles (Director), 2714 Herbert Cole Dr, Monroe, LA 71201 (Physical)
Agent:
Gary L. Booth,1871 Hudson Cir, Monroe, LA 71201 (Physical)

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