Organization Active NPI

Gulf States Optical Laboratories Inc

  • Eyewear Supplier
  • Jefferson, LA
National Provider Identifier
1063619666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
GULF STATES OPTICAL LABORATORIES INC
Practice address
313 Coolidge St
Jefferson, LA 70121-2418
Phone
(504) 834-1646
Fax
(504) 834-2580
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Pierre Bezou
Title
Owner President
Phone
(504) 834-1646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

313 Coolidge St
Jefferson, LA 70121-2418

Mailing address

313 Coolidge St
Jefferson, LA 70121-2418
Phone (504) 834-1646

National Provider Directory

National Provider Directory

Locations

313 Coolidge St
Jefferson, LA 70121
Phone (504) 834-1646

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063619666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 COOLIDGE ST",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212418",
            "telephone_number": "504-834-1646",
            "fax_number": "504-834-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 COOLIDGE ST",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212418",
            "telephone_number": "504-834-1646",
            "fax_number": "504-834-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF STATES OPTICAL LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEZOU",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "504-834-1646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.