| NPI | 1659356392 | 
|---|---|
| Doing Business As | EYE SURGERY CENTER | 
| Entity Type | Organization | 
| Authorized Contact | CHARLOTTE L ALFORD RN Manager Administrator 318-869-1130  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: LA 122)  | 
| Enumeration Date | 2005-12-14 | 
| Last Update Date | 2007-08-23 |