Organization
HART EYE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BEROEN HART M.D. (OWNER/OPHTHALMOLOGIST)
(337) 439-4014
Entity
Organization
Contact information
Practice address
1727 IMPERIAL BLVD, BLDG. 1, STE. B, LAKE CHARLES, LA 70605-5362
(337) 439-4014
(337) 439-0185
Mailing address
1920 WEST SALE ROAD, BLDG. F, STE. 3, LAKE CHARLES, LA 70605-5362
(337) 439-4014
(337) 439-0185
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1378801
—
LA
Enumeration date
10/17/2008
Last updated
08/19/2022
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