OrganizationActive
Advanced Vision Group, LLC
NPI 1043300239 · Ophthalmologic Surgery Clinic/Center · Metairie, LA
Provider details
- NPI number
- 1043300239
- Entity type
- Organization
- Primary specialty
- Ophthalmologic Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Robert Johnson, Administrative Director
- License
- 145 (LA)
Practice location
3900 Veterans Memorial Blvd
Ste. 100
Metairie, LA 70002-5634
Phone: (504) 620-2020
Fax: (504) 455-2011
Mailing address
39189 Oak St
Pearl River, LA 70452-5031
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.