Provider Demographics
NPI:1144360959
Name:SONNIER, MICHELLE F (OD)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:F
Last Name:SONNIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Country:US
Practice Address - Phone:985-872-3535
Practice Address - Fax:985-879-3855
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1265-419T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4B237CP92Medicare ID - Type Unspecified
LAU71172Medicare UPIN
LA5946090001Medicare NSC