# GERMER HALEY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eye Surgery Center of Louisiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104014216
- **Authorized official:** MR. WILIAM DAVE WILLIS (ADMINISTRATOR)
- **Authorized official phone:** (504) 455-1816

## Contact information

- **Practice address:** 409 AVENUE F, BOGALUSA, LA 70427-3633
- **Practice address phone:** (985) 735-8137
- **Practice address fax:** (504) 887-7816
- **Mailing address:** 3900 VETERANS MEMORIAL BLVD, SUITE 203, METAIRIE, LA 70002-5634
- **Mailing address phone:** (504) 455-1816
- **Mailing address fax:** (504) 887-7816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 09/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00134738 | — | MS |
| 05 | — | 09015514 | — | MS |
| 05 | — | 1441121 | — | LA |