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Organization
EYE ASSOCIATES LLC
Active
Organization
EYE ASSOCIATES LLC
Active
Other names
Eye Surgery Center Of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DAVID WILLIS (ADMINISTRATOR)
(504) 455-1816
Entity
Organization
Contact information
Practice address
3530 HOUMA BLVD, SUITE 203, METAIRIE, LA 70006
(504) 887-7660
(504) 887-7816
Mailing address
3530 HOUMA BLVD, STE 203, METAIRIE, LA 70006-4202
(504) 887-7660
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03258518
—
MS
01
—
1104014216
NPI
—
05
—
1441121
—
LA
Enumeration date
05/18/2006
Last updated
06/01/2018
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