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Organization

THE ALEXANDRIA OPHTHALMOLOGY ASC LLC

Active
Other names
Wallace Laser and Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
4100 PARLIAMENT DR, ALEXANDRIA, LA 71303-2717
(318) 487-8342
(318) 487-9942
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 240-3741

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
89
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1566942
LA
Enumeration date
02/10/2006
Last updated
04/06/2022
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