The Alexandria Ophthalmology ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

89 Issued in LA

Legal business name

THE ALEXANDRIA OPHTHALMOLOGY ASC LLC

Doing business as

Wallace Laser and Surgery Center

Practice address

4100 Parliament Dr
Alexandria, LA 71303-2717

Phone

(318) 487-8342

Fax

(318) 487-9942

NPI assigned

Feb 10, 2006

Last updated

Apr 6, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey E Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wallace Laser and Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

The Alexandria Ophthalmology ASC LLCCCN 19C0001035

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Braud, MD

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1093342768
  NPD (past)
• Patrick Redmond, M.D.

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1568780195
  NPD (past)
• Eric Reish, M.D.

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1801086202
  NPD (past)
• Thomas C Stuckey, III, M.D.

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1437177300
  NPD (past)
• Robert Bruce Wallace III, M.D.

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1598792293
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1184697930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 PARLIAMENT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032717",
            "telephone_number": "318-487-8342",
            "fax_number": "318-487-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALEXANDRIA OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1566942",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace Laser and Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wallace Laser and Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Terrell
• Chelsea Lynn Terrell, MHP
• Erin Teutsch
• Richard Paul Texada Sr., MD
• Melanie Tharp, RNC, WHNP
• The Arc Rapides, Inc.
• The Arc Rapides, Inc.
• The Chiropractic Center LLC
• The Corner Drug and Wellness
• The Kroger Co (Kroger Pharmacy)

• Ambulatory Surgical Clinic/Center in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.