Provider Demographics
NPI:1437342029
Name:MICHELLE F. SONNIER O.D. APMC
Entity Type:Organization
Organization Name:MICHELLE F. SONNIER O.D. APMC
Other - Org Name:SONNIER VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SONNIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:985-872-3535
Mailing Address - Street 1:6008 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-1717
Mailing Address - Country:US
Mailing Address - Phone:985-872-3535
Mailing Address - Fax:985-879-3855
Practice Address - Street 1:6008 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-1717
Practice Address - Country:US
Practice Address - Phone:985-872-3535
Practice Address - Fax:985-879-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1265-419T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5946090001Medicare NSC
LA5CP92Medicare PIN