OrganizationActiveAccepts Medicare
Alexandria Eye and Laser Center, LLC
NPI 1104296607 · Eyewear Supplier · Pineville, LA
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1104296607
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Octavia Williams, Credentialing Specialist(318) 561-0946
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
65 Medical Park Blvd
Pineville, LA 71360-8428
Phone: (318) 641-2400
Fax: (318) 441-9976
Street-level locationGet directions
Mailing address
231 Windermere Blvd
Alexandria, LA 71303-3538
Registry dates
- Enumerated
- 2015-09-28
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.