Organization
STEVENSON MEDICAL SURGICAL EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONEX DARA STEVENSON MD (MEDICAL DIRECTOR PHYSICIAN)
(985) 537-7000
Entity
Organization
Contact information
Practice address
4777 HWY 1 S, RACELAND, LA 70394
(985) 537-7000
(985) 537-7001
Mailing address
4777 HWY 1 SOUTH, RACELAND, LA 70394
(985) 537-7000
(985) 537-7001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02476R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798894
—
LA
Enumeration date
08/31/2006
Last updated
07/21/2008
Update your record
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