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Organization
THE ALEXANDRIA OPHTHALMOLOGY ASC LLC
Active
Organization
THE ALEXANDRIA OPHTHALMOLOGY ASC LLC
Active
Other names
Wallace Laser and Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4100 PARLIAMENT DR, ALEXANDRIA, LA 71303-2717
(318) 487-8342
(318) 487-9942
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 240-3741
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
89
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1566942
—
LA
Enumeration date
02/10/2006
Last updated
04/06/2022
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