National Provider Identifier Database

LASER CATARACT CENTER OF SHREVEPORT LLC
Ambulatory Surgical


Contact Information

LASER & CATARACT CENTER OF SHREVEPORT LLC
445 ASHLEY RIDGE BLVD
SHREVEPORT, LA71106
Phone: 318-869-1130
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for LASER & CATARACT CENTER OF SHREVEPORT LLC

NPI Number 1659356392
Legal business name
LBN
LASER & CATARACT CENTER OF SHREVEPORT LLC
Authorized official CHARLOTTE ALFORD - (RN MANAGER ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/14/2005
Last updated 08/23/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 122
  • LA Medicaid: 1160563
  • LA Medicaid: 1527211

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LASER & CATARACT CENTER OF SHREVEPORT LLC

There are currently no reviews for LASER & CATARACT CENTER OF SHREVEPORT LLC


NPIdb - Home
v2.201