Organization
METAIRIE OPHTHALMOLOGY ASC LLC
Active
Other names
Ambulatory Eye Surgery Center of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOHNSON (SECRETARY/TREASURER)
(504) 512-2161
Entity
Organization
Contact information
Practice address
3900 VETERANS MEMORIAL BLVD, SUITE 100, METAIRIE, LA 70002-5634
(504) 455-1550
(504) 455-2011
Mailing address
3900 VETERANS MEMORIAL BLVD, SUITE 100, METAIRIE, LA 70002-5634
(504) 455-1550
(504) 455-2011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
94
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09077052
—
MS
05
—
1698725
—
LA
Enumeration date
02/08/2006
Last updated
11/13/2023
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