Individual provider Active NPI

Brock Joachim Songy, O.D.

  • Optometrist
  • New Orleans, LA
National Provider Identifier
1083739387
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1546-581T Issued in LA
Practice address
4114 Marigny St
New Orleans, LA 70122-4931
Phone
(504) 288-2333
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001889 PA
Optometrist 152W00000X 1546-581T LA Primary

Addresses

Primary practice location

4114 Marigny St
New Orleans, LA 70122-4931

Mailing address

4114 Marigny St
New Orleans, LA 70122-4931
Phone (504) 288-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000496 LA Practitioner - Optometry 2860539020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1546-581TLAMDOptometrist
OEG001889PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Songy Family Eyecare LLC Optometrist CurrentSince Dec 12, 2021 Accepting new patients

Locations

10 Wade St
Luling, LA 70070
Phone (504) 273-9805

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1083739387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 MARIGNY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224931",
            "telephone_number": "504-288-2333",
            "fax_number": "504-288-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MARIGNY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224931",
            "telephone_number": "504-288-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGY",
        "first_name": "BROCK",
        "middle_name": "JOACHIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001889",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1546-581T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.