Advanced Vision Group, LLC
Organization Active NPI Ophthalmologic Surgery Clinic/Center · Metairie, LA
NPI 1043300239 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1043300239
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmologic Surgery Clinic/Center 261QS0132X
- License
- 145 (LA)
- Legal business name
- ADVANCED VISION GROUP, LLC
- Practice address
- 3900 Veterans Memorial Blvd
Ste. 100
Metairie, LA 70002-5634 - Phone
- (504) 620-2020
- Fax
- (504) 455-2011
- NPI assigned
- Oct 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert W Johnson
- Title
- Administrative Director
- Phone
- (504) 512-2161
Practitioners 1
-
Barry Joseph Leader, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 145 | LA | Yes |
Addresses
Primary practice location
3900 Veterans Memorial Blvd
Ste. 100
Metairie, LA 70002-5634
Mailing address
39189 Oak St
Pearl River, LA 70452-5031
Phone (958) 863-2704
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7855740 | Other | LA | AETNA |
| P00184030 | Other | LA | RAILROAD MEDICARE |
| 1471941 | Medicaid | LA |
Other names
- Precision Surgery Center
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All providers in Metairie, LA · Ophthalmologic Surgery Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.