Organization
IBERIA EYE CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK DOUGLASS HALL III M.D. (OWNER)
(337) 256-8395
Entity
Organization
Contact information
Practice address
1110 ANGERS ST, NEW IBERIA, LA 70563-2012
(337) 256-8395
(337) 256-8396
Mailing address
1110 ANGERS ST, NEW IBERIA, LA 70563-2012
(337) 256-8395
(337) 256-8396
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
07/27/2007
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