Organization Active NPI

Dorothy K. Anderson, O.D.

  • Optometrist
  • Marrero, LA
National Provider Identifier
1033319272
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
729-176T Issued in LA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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.NPI 1679659593
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1143456MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.