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Organization
METAIRIE OPHTHALMOLOGY ASC LLC
Active
Organization
METAIRIE OPHTHALMOLOGY ASC LLC
Active
Other names
Ambulatory Eye Surgery Center of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOHNSON (SECRETARY/TREASURER)
(504) 512-2161
Entity
Organization
Contact information
Practice address
3900 VETERANS MEMORIAL BLVD, SUITE 100, METAIRIE, LA 70002-5634
(504) 455-1550
(504) 455-2011
Mailing address
3900 VETERANS MEMORIAL BLVD, SUITE 100, METAIRIE, LA 70002-5634
(504) 455-1550
(504) 455-2011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
94
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09077052
—
MS
05
—
1698725
—
LA
Enumeration date
02/08/2006
Last updated
11/13/2023
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