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OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS LLC NPI 1114929957


NPI Information

NPI: 1114929957
Provider Name: OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC

Doing Business As: OUTPATIENT SURGERY CENTER FOR SIGHT

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 19D0649150

Address:
550 CONNELLS PARK LN
BATON ROUGE, LA
ZIP 70806
Phone: (225) 923-8250
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OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC is an ambulatory surgical clinic center in Baton Rouge, LA. OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC NPI is 1114929957. The provider is registered as an organization entity type.
The provider Is Doing Business As Outpatient Surgery Center For Sight.

The provider's business location address is:

550 CONNELLS PARK LN
BATON ROUGE, LA
ZIP 70806-539
Phone: (225) 923-8250
Fax: (225) 925-0225

The provider's authorized official is Charles H Williamson .
The authorized official title is Cfo and has the following contact phone number (225) 925-2031.

The CLIA number assigned to this NPI record is 19D0649150 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2005 and was last updated on 2/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical129LOUISIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
119-C0001043MEDICARE PINLOUISIANA
24435448OTHERLOUISIANAAETNA PIN
31900220254ZOTHERLOUISIANABC PIN
41911488MEDICAIDLOUISIANA

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: 4/28/2024

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