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Organization
LASER & CATARACT CENTER OF SHREVEPORT LLC
Active
Organization
LASER & CATARACT CENTER OF SHREVEPORT LLC
Active
Other names
Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE L ALFORD RN (RN MANAGER ADMINISTRATOR)
(318) 869-1130
Entity
Organization
Contact information
Practice address
445 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106
(318) 869-1130
Mailing address
445 ASHLEY RIDGE BLVD, SHREVEPORT, LA 71106-7229
(318) 869-1130
(318) 865-8499
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
122
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1160563
—
LA
05
—
1527211
—
LA
Enumeration date
12/14/2005
Last updated
08/23/2007
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