Organization
ALEXANDRIA EYE AND LASER CENTER, LLC
Active
Other names
Alexandria Eye and Laser Center Optical, Louisiana Eye and Laser
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA JACKSON WILLIAMS (CREDENTIALING SPECIALIST)
(318) 561-0946
Entity
Organization
Contact information
Practice address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
(318) 443-9993
Mailing address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
(318) 443-9993
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MD.011191
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441210
—
LA
Enumeration date
05/31/2012
Last updated
01/19/2022
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