Organization Active NPI

Metairie Ophthalmology ASC LLC

  • Anesthesiology Physician
  • Metairie, LA
National Provider Identifier
1033716600
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
METAIRIE OPHTHALMOLOGY ASC LLC
Practice address
3900 Veterans Memorial Blvd Ste 100
Metairie, LA 70002-5634
Phone
(504) 822-3800
Fax
(504) 882-3701
NPI assigned
Oct 6, 2020
Organization subpart
Yes
Parent organization
THE METAIRIE OPHTHALMOLOGY ASC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Brandy Eddings
Title
Billing Manager
Phone
(504) 882-3808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3900 Veterans Memorial Blvd Ste 100
Metairie, LA 70002-5634

Mailing address

3900 Veterans Memorial Blvd Ste 100
Metairie, LA 70002-5634
Phone (504) 822-3800

Other names 1

  • AESCLA Anesthesia Other name

National Provider Directory

National Provider Directory
Tax ID family
Metairie Ophthalmology ASC LLC2 organizations share this tax ID, including this one
Part of
Metairie Ophthalmology ASC LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3900 Veterans Memorial Blvd
Ste 100
Metairie, LA 70002
Phone (504) 455-1550

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1033716600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 VETERANS MEMORIAL BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025634",
            "telephone_number": "504-822-3800",
            "fax_number": "504-882-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 VETERANS MEMORIAL BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025634",
            "telephone_number": "504-822-3800",
            "fax_number": "504-882-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAIRIE OPHTHALMOLOGY ASC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE METAIRIE OPHTHALMOLOGY ASC, LLC",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "EDDINGS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "504-882-3808"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AESCLA Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.