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Organization
OUTPATIENT EYE SURGERY CENTER
Active
Organization
OUTPATIENT EYE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A LANDRY MD (PRESIDENT)
(504) 455-4046
Entity
Organization
Contact information
Practice address
4324 VETERANS MEMORIAL BLVD, SUITE 101, METAIRIE, LA 70006-5445
(504) 455-4046
(504) 883-7669
Mailing address
DEPT AT 952520, ATLANTA, GA 31192-2520
(504) 455-4046
(504) 883-7669
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
35
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1697958
—
LA
Enumeration date
05/08/2008
Last updated
12/08/2008
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