Active NPI
Northshore Eye Associates LLC
- Ophthalmology Physician
- Hammond, LA
National Provider Identifier
1043383961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2020
- 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. Eric D Griener, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1944297 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2570 Veterans Ave
Ste C
Hammond, LA 70403
Phone (985) 370-0919
Interoperability endpoints
- egriener@northshoreeye.intellechartdirect.net
- elanglow@northshoreeye.intellechartdirect.net
- 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.
-
- Ophthalmology Physician
- Mandeville, LA
- NPI 1407853401
-
- Ophthalmology Physician
- Hammond, LA
- NPI 1245751098
-
- Family Nurse Practitioner
- Hammond, LA
- NPI 1619672540
-
- Optometrist
- Hammond, LA
- NPI 1104139757
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
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Northshore Ambulatory Surgery Center LLC
- Northshore Anesthesia, LLC
- Northshore Counseling Group LLC
- Northshore ENT Clinic, LLC
- Northshore Hospital Medicine LLC
- Northshore Imaging Assoc LLC
- Northshore Internal Medicine Associates
- Northshore Provider Group LLC
- Kristin Toney Notariano, DOCTOR OF PHARMACY
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.