Alexandria Eye and Laser Center, LLC

NPI #1922871912 in Olla, Louisiana

Provider Information

NPI Number: 1922871912
Entity Type: Organization
Organization Name: Alexandria Eye and Laser Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ALEXANDRIA EYE AND LASER CENTER, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 1, 2023
Last Updated: Nov 1, 2023

Practice Location

Address: 1102 N PINE RD
City: Olla
State: Louisiana
ZIP Code: 71465-4804
Phone: (318) 487-2020

Authorized Official

Name: OCTAVIA JACKSON WILLIAMS
Title: CREDENTIALING SPECIALIST
Phone: (318) 561-0946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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