Organization
OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC
Active
Other names
OUTPATIENT SURGERY CENTER FOR SIGHT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES H WILLIAMSON JR. (CFO)
(225) 925-2031
Entity
Organization
Contact information
Practice address
550 CONNELLS PARK LN, BATON ROUGE, LA 70806-6539
(225) 923-8250
(225) 925-0225
Mailing address
550 CONNELL PARK LN, SUITE B, BATON ROUGE, LA 70806-6539
(225) 925-2031
(225) 924-2809
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
129
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1900220254Z
BC PIN
LA
05
—
1911488
—
LA
01
—
4435448
AETNA PIN
LA
Enumeration date
08/11/2005
Last updated
02/26/2014
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