Organization Active NPI

Northshore Eye Associates LLC

  • Ophthalmology Physician
  • Hammond, LA
National Provider Identifier
1043383961
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTHSHORE EYE ASSOCIATES LLC
Practice address
17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone
(985) 375-1111
Fax
(985) 542-0733
NPI assigned
Nov 16, 2006
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Dr. Eric D Griener, M.D.NPI 1992753545
Title
Owner
Phone
(985) 375-1111

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
Ophthalmology Physician 207W00000X NU Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X NU

Addresses

Primary practice location

17170 S I 12 Service Rd
Hammond, LA 70403-2408

Mailing address

2831 Monroe St
Mandeville, LA 70448-4936
Phone (985) 375-1111

Other identifiers 1

IdentifierTypeStateIssuer
1944297MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050602001126 LA Part B Supplier - Clinic/Group Practice 4385687128 Receives reassigned benefits from 6 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Locations

2570 Veterans Ave
Ste C
Hammond, LA 70403
Phone (985) 370-0919

Interoperability endpoints

  • Direct secure messaging: egriener@northshoreeye.intellechartdirect.net
  • Direct secure messaging: elanglow@northshoreeye.intellechartdirect.net
  • Direct secure messaging: slau@northshoreeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1043383961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 MONROE ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484936",
            "telephone_number": "985-375-1111",
            "fax_number": "985-542-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-375-1111",
            "fax_number": "985-542-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "GRIENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-375-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944297",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.