National Provider Identifier Database

ALEXANDRIA EYE AND LASER CENTER LLC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

ALEXANDRIA EYE AND LASER CENTER, LLC
65 MEDICAL PARK BLVD
PINEVILLE, LA71360-8428
Phone: 318-641-2400
Fax: 318-441-9976
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for ALEXANDRIA EYE AND LASER CENTER, LLC

NPI Number 1104296607
Legal business name
LBN
ALEXANDRIA EYE AND LASER CENTER, LLC
Authorized official OCTAVIA WILLIAMS - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 09/28/2015
Last updated 01/19/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 1441210

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.

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