# IBERIA EYE CENTER,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215995527
- **Authorized official:** FREDERICK DOUGLASS HALL III M.D. (OWNER)
- **Authorized official phone:** (337) 256-8395

## Contact information

- **Practice address:** 1110 ANGERS ST, NEW IBERIA, LA 70563-2012
- **Practice address phone:** (337) 256-8395
- **Practice address fax:** (337) 256-8396
- **Mailing address:** 1110 ANGERS ST, NEW IBERIA, LA 70563-2012
- **Mailing address phone:** (337) 256-8395
- **Mailing address fax:** (337) 256-8396

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 07/27/2007