Organization
EYE CARE SURGERY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY HALEY JR. M.D. (OWNER)
(225) 923-0960
Entity
Organization
Contact information
Practice address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
(225) 923-3736
Mailing address
10423 OLD HAMMOND HWY, BATON ROUGE, LA 70816-8264
(225) 923-0960
(225) 923-3736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
92
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1428566
—
LA
01
—
20120
BLUE CROSS BLUE SHIELD
LA
Enumeration date
03/21/2006
Last updated
02/12/2008
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