THE ALEXANDRIA OPHTHALMOLOGY ASC LLC (NPI# 1184697930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184697930 |
| Entity Type | Organization |
| Organization Name | THE ALEXANDRIA OPHTHALMOLOGY ASC LLC |
| Other Organization Name | WALLACE LASER AND SURGERY CENTER |
| Practice Address |
4100 Parliament Dr Alexandria LA 71303-2717 |
| Practice Telephone | 3184878342 |
| Practice Fax Number | 3184879942 |
| Mailing Telephone | 3184878342 |
| Mailing Fax Number | 3184879942 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-05-14 |
| Authorized Official Name | MR. PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
89 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1566942 | 05 |
| Other Name | Type Code |
|---|---|
| Wallace Laser and Surgery Center | Doing Business As Name - Organization |
| Street Address |
4100 PARLIAMENT DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1174679641 | The Sendi Cosmetic Surgery Center, Inc. | Clinic/Center | 5425 Duke St, Alexandria, VA 22304-3101 | 2007-01-26 |
| 1356490817 | Christus Cabrini Surgery Center, LLC | Clinic/Center | 3436 Masonic Drive, Alexandria, LA 71301-3615 | 2007-01-10 |
| 1003802950 | Minnesota Eye Institute Surgery Center, LLC | Clinic/Center | 3401 S Broadway, Alexandria, MN 56308-3477 | 2005-09-26 |
| 1447250667 | Central Louisiana Ambulatory Surgical Center | Clinic/Center | 651 N Bolton Ave, Alexandria, LA 71301-7449 | 2005-07-29 |
| 1811378375 | Alexandria Ambulatory Surgery Center Lp | Clinic/Center | 224 Pecan Park Ave, Suite E, Alexandria, LA 71303-3308 | 2015-06-10 |
| 1457525305 | Myriam Urrutia-eder, Md Endoscopy Center Inc | Clinic/Center | 2616 Sherwood Hall Ln, Suite 203, Alexandria, VA 22306-3100 | 2008-04-22 |
| 1720118102 | Central Louisiana Ambulatory Surgical Center LLC | Clinic/Center | 651 N Bolton Ave, Alexandria, LA 71301-7449 | 2007-03-06 |
| 1417922915 | Franconia-springfield Surgery Center, LLC | Clinic/Center | 6355 Walker Ln, Suite 200, Alexandria, VA 22310-3245 | 2006-02-20 |
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| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1598390015 | Christus Surgery Center Villages LLC | Clinic/Center | 385 Bert Kouns Industrial Loop Ste 300, Shreveport, LA 71106-8158 | 2020-03-04 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1073026639 | Mid City Specialty Center, LLC | Clinic/Center | 3600 Florida Blvd Ste 2000, Baton Rouge, LA 70806-3842 | 2017-11-06 |
| 1376055897 | Northern Louisiana Cardiac Services LLC | Clinic/Center | 1453 E Bert Kouns Industrial Loop Ste 220, Shreveport, LA 71105-6810 | 2017-10-25 |
| 1780041749 | Buisson Rnfa, LLC | Clinic/Center | 3042 Hill Ct, Mandeville, LA 70448-8488 | 2016-01-21 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on THE ALEXANDRIA OPHTHALMOLOGY ASC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.