Dr. Alexis Noelle Broussard
Optometrist
280 Harbison Blvd Ste T
Columbia
, South Carolina 29212-2247
Dr. Alexis Noelle Broussard
Optometrist
280 Harbison Blvd Ste T
Columbia
, South Carolina 29212-2247
(504) 481-0472
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Alexis Noelle Broussard
- 8704 Southampton Dr
- Miramar, FL
- Zip : 33025-2716
- Phone : (504) 481-0472
Second Address
- Dr. Alexis Noelle Broussard
- 280 Harbison Blvd Ste T
- Columbia, SC
- Zip : 29212-2247
- Phone : (803) 732-9200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2085 | SC |
National Provider Identifier
| NPI | 1003393539 |
|---|---|
| Provider Name | Dr. Alexis Noelle Broussard |
| First Address | Miramar, FL 33025-2716 |
| Second Address | Columbia, SC 29212-2247 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2018 |
| Last Update Date | 26/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.