Active NPI
Dorothy K. Anderson, O.D.
- Optometrist
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 729-176T
- Legal business name
- DOROTHY K. ANDERSON, O.D.
- Practice address
- 1670 Barataria Blvd Ste D
Marrero, LA 70072-4354 - Phone
- (504) 348-2993
- Fax
- (504) 340-4468
- NPI assigned
- Jul 24, 2007
- Last updated
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dorothy K. Anderson, O.D.
- Title
- O.D./Owner
- Phone
- (504) 348-2993
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 729-176T | LA | Primary |
Addresses
Primary practice location
1670 Barataria Blvd Ste D
Marrero, LA 70072-4354
Mailing address
1670 Barataria Blvd Ste D
Marrero, LA 70072-4354
Phone (504) 348-2993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1143456 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1670 Barataria Blvd
Ste D
Marrero, LA 70072
Phone (504) 348-2993
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Marrero, LA
- NPI 1679659593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1033319272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 BARATARIA BLVD STE D",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724354",
"telephone_number": "504-348-2993",
"fax_number": "504-340-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 BARATARIA BLVD STE D",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724354",
"telephone_number": "504-348-2993",
"fax_number": "504-340-4468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOROTHY K. ANDERSON, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-24",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "O.D./OWNER",
"authorized_official_telephone_number": "504-348-2993",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "729-176T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1143456",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.