# ALEXANDRIA EYE AND LASER CENTER, LLC

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

## Provider details

- **NPI number:** 1447429022
- **Authorized official:** OCTAVIA JACKSON WILLIAMS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (318) 561-0946

## Contact information

- **Practice address:** 1008 S 6TH ST, LEESVILLE, LA 71446-4920
- **Practice address phone:** (337) 392-1994
- **Practice address fax:** (337) 392-1944
- **Mailing address:** 231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
- **Mailing address phone:** (318) 487-2020
- **Mailing address fax:** (318) 445-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 01/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1441210 | — | LA |
| 01 | — | DC4592 | TRAVELERS MEDICARE | LA |