Louisiana Eye And Laser
Clinic/Center, Medical Specialty in Alexandria, LA. Organization (NPI-2).
NPI number1790381069
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1790381069
- Entity type
- Organization (NPI-2)
- Legal business name
- Louisiana Eye And Laser
- Organization subpart
- No
- Enumeration date
- Dec 10, 2020
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QS0132X | Clinic/Center, Ophthalmologic Surgery | – | – | |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Louisiana Eye And Laser (Doing Business As)
Practice location
231 Windermere BlvdAlexandria, LA 71303-3538
Phone 318-487-2020 · Fax 318-427-0173
Mailing address
231 Windermere BlvdAlexandria, LA 71303-3538
Phone 318-487-2020 · Fax 318-427-0173
Authorized official
Shundricka Robinson
Billing Team Lead
3184872020
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