Provider Demographics
NPI:1033716600
Name:METAIRIE OPHTHALMOLOGY ASC LLC
Entity Type:Organization
Organization Name:METAIRIE OPHTHALMOLOGY ASC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:EDDINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-882-3808
Mailing Address - Street 1:3900 VETERANS MEMORIAL BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5634
Mailing Address - Country:US
Mailing Address - Phone:504-822-3800
Mailing Address - Fax:504-882-3701
Practice Address - Street 1:3900 VETERANS MEMORIAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5634
Practice Address - Country:US
Practice Address - Phone:504-822-3800
Practice Address - Fax:504-882-3701
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE METAIRIE OPHTHALMOLOGY ASC, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty