NPIMap

Organization Active NPI

Dimaggio Family Eye Care, Inc.

  • Optometrist
  • Deridder, LA
National Provider Identifier
1023345659
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1281-437T Issued in LA
Legal business name
DIMAGGIO FAMILY EYE CARE, INC.
Practice address
1125 N Pine St
Deridder, LA 70634-2819
Phone
(337) 462-2015
Fax
(337) 462-2081
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Heather Dimaggio, O.D.NPI 1154354215
Title
Secretary/Treasurer
Phone
(337) 463-6169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1281-437T LA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1282-438T LA

Addresses

Primary practice location

1125 N Pine St
Deridder, LA 70634-2819

Mailing address

1299 Highway 3226
Deridder, LA 70634-9133
Phone (337) 463-6169

National Provider Directory

National Provider Directory

Locations

2204 S 5th St
Leesville, LA 71446
Phone (337) 238-9041

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1023345659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 HIGHWAY 3226",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706349133",
            "telephone_number": "337-463-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 N PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342819",
            "telephone_number": "337-462-2015",
            "fax_number": "337-462-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMAGGIO FAMILY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "DIMAGGIO",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "337-463-6169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1281-437T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1282-438T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.