# STEVENSON MEDICAL SURGICAL EYE CENTER

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

## Provider details

- **NPI number:** 1699886325
- **Authorized official:** ONEX DARA STEVENSON MD (MEDICAL DIRECTOR PHYSICIAN)
- **Authorized official phone:** (985) 537-7000

## Contact information

- **Practice address:** 4777 HWY 1 S, RACELAND, LA 70394
- **Practice address phone:** (985) 537-7000
- **Practice address fax:** (985) 537-7001
- **Mailing address:** 4777 HWY 1 SOUTH, RACELAND, LA 70394
- **Mailing address phone:** (985) 537-7000
- **Mailing address fax:** (985) 537-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 02476R | LA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1798894 | — | LA |