ADVANCED VISION GROUP LLC NPI 1043300239

NPI Information

  • NPI: 1043300239
  • Provider Name: ADVANCED VISION GROUP, LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Doing Business As: PRECISION SURGERY CENTER
  • CLIA Number: 19D2258399
  • Address: 3900 VETERANS MEMORIAL BLVD
    STE. 100
    METAIRIE, LA
    ZIP 70002
  • Phone: (504) 620-2020

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NPI Details

ADVANCED VISION GROUP, LLC is an ophthalmologic surgery clinic center in Metairie, LA. ADVANCED VISION GROUP, LLC NPI is 1043300239. The provider is registered as an organization entity type.
The provider Is Doing Business As Precision Surgery Center.

The provider's business location address is:

3900 VETERANS MEMORIAL BLVD
STE. 100
METAIRIE, LA
ZIP 70002-634
Phone: (504) 620-2020
Fax: (504) 455-2011

The provider's authorized official is Robert W Johnson .
The authorized official title is Administrative Director and has the following contact phone number (504) 512-2161.

The CLIA number assigned to this NPI record is 19D2258399 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic Surgery145LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17855740OTHERLOUISIANAAETNA
2P00184030OTHERLOUISIANARAILROAD MEDICARE
31471941MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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