ADVANCED VISION GROUP LLC NPI 1043300239

NPI Information

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:

Other Identifiers

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