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NPI Code Detail

MEDICARE: THE ALEXANDRIA OPHTHALMOLOGY ASC LLC

MEDICARE: THE ALEXANDRIA OPHTHALMOLOGY ASC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center89LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184697930
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE ALEXANDRIA OPHTHALMOLOGY ASC LLC
Provider Business Mailing Address
First Line : 1A BURTON HILLS BLVD
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6187
Country : US
Telephone Number : 615-240-3741
Fax Number :
Provider Business Practice Location Address
First Line : 4100 PARLIAMENT DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2717
Country : US
Telephone Number : 318-487-8342
Fax Number : 318-487-9942
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY E SNODGRASS
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 02/10/2006
Last Update Date : 04/06/2022

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Directions to “THE ALEXANDRIA OPHTHALMOLOGY ASC LLC ” Practice Location

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