Artis Beatty a Professional Optometry Corporation
Organization Active NPI Optometrist · Boutte, LA
NPI 1013426451 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1013426451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ARTIS BEATTY A PROFESSIONAL OPTOMETRY CORPORATION
- Practice address
- 13322 Highway 90 Ste L
Boutte, LA 70039-3010 - Phone
- (985) 807-1373
- NPI assigned
- Sep 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 8
Practitioners 19
-
Kristinia W Cook, O.D.
-
Silva Hamade, OD
-
Mary Elizabeth Hood, OPTOMETRIST
-
Norwood R. Kelly Jr., O.D.
-
Denise Fletcher King, O.D
-
Bach Nguyen, O.D.
-
Dao Joanna Anh Nguyen, O.D.
-
Anh V Ta, O.D.
-
Cindy Tran, OD
-
Randa Edelbi, OD
-
Natalia Malaret, OD
-
Katie Hoang Miao, OD
-
Joseph Allan Pruitt, O.D.
-
Fatima Qureshi, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171211000692 | LA | Part B Supplier - Clinic/Group Practice | 3678831187 |
Receives reassigned benefits from 44 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mandeville, LA; Slidell, LA; New Orleans, LA; Metairie, LA; Kenner, LA; Jefferson, LA; Houma, LA; Boutte, LA |
National Provider Directory
- Tax ID family
- Artis Beatty a Professional Optometry Corporation
Locations
1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 327-2230
4004 Magazine St
Ste A
New Orleans, LA 70115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
13322 Highway 90 Ste L
Boutte, LA 70039-3010
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other names
- MyEyeDr.
Other providers in Boutte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.