Healthcare Provider Details

I. General information

NPI: 1124071717
Provider Name (Legal Business Name): EYE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 06/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 HOUMA BLVD SUITE 203
METAIRIE LA
70006
US

IV. Provider business mailing address

3530 HOUMA BLVD STE 203
METAIRIE LA
70006-4202
US

V. Phone/Fax

Practice location:
  • Phone: 504-887-7660
  • Fax: 504-887-7816
Mailing address:
  • Phone: 504-887-7660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM DAVID WILLIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 504-455-1816