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LOUISIANA EYE AND LASER NPI 1790381069


NPI Information

NPI: 1790381069
Provider Name: LOUISIANA EYE AND LASER

Doing Business As: LOUISIANA EYE AND LASER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 19D2125550

Address:
231 WINDERMERE BLVD
ALEXANDRIA, LA
ZIP 71303
Phone: (318) 487-2020
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LOUISIANA EYE AND LASER is a medical specialty clinic center in Alexandria, LA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LOUISIANA EYE AND LASER NPI is 1790381069. The provider is registered as an organization entity type.
The provider Is Doing Business As Louisiana Eye And Laser.

The provider's business location address is:

231 WINDERMERE BLVD
ALEXANDRIA, LA
ZIP 71303-538
Phone: (318) 487-2020
Fax: (318) 427-0173

The provider's authorized official is Shundricka Robinson .
The authorized official title is Billing Team Lead and has the following contact phone number (318) 487-2020.

The CLIA number assigned to this NPI record is 19D2125550 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2020 and was last updated on 12/10/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM2500XClinic/CenterMedical SpecialtyYes
3261QS0132XClinic/CenterOphthalmologic SurgeryNo
4332H00000XEyewear SupplierNo

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
11441210MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.