Organization
LOUISIANA EYE AND LASER
Active
Other names
LOUISIANA EYE AND LASER
Organization subpart
No
Provider details
NPI number
Authorized official
SHUNDRICKA ROBINSON (BILLING TEAM LEAD)
(318) 487-2020
Entity
Organization
Contact information
Practice address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
(318) 427-0173
Mailing address
231 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 487-2020
(318) 427-0173
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441210
—
LA
Enumeration date
12/10/2020
Last updated
12/10/2020
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