Individual provider Active NPI

Jeff M Anastasio, O.D.

  • Optometrist
  • Covington, LA
National Provider Identifier
1083775746
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1316-452T Issued in LA
Practice address
1431 Ochsner Blvd
Suite a
Covington, LA 70433-8110
Phone
(985) 875-7898
NPI assigned
Dec 13, 2006
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1316-452T LA Primary

Addresses

Primary practice location

1431 Ochsner Blvd
Suite a
Covington, LA 70433-8110

Mailing address

1431 Ochsner Blvd
Suite a
Covington, LA 70433-8110
Phone (985) 875-7898

Other identifiers 1

IdentifierTypeStateIssuer
1553613MedicaidLA

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
I20040929000055 LA Practitioner - Optometry 1850360660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Family Eyecare, LLCGroup PAC ID 7113074717, 5 clinicians

Practice addresses (Care Compare)

107 Terra Bella Blvd
Covington, LA 70433-8148
Phone (985) 875-7898

1431 Ochsner Blvd
Suite a
Covington, LA 70433-8246
Phone (985) 875-7898

312 S Jefferson Ave
Suite E
Covington, LA 70433-3169
Phone (985) 302-5225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Family Eyecare, LLC Optometrist CurrentSince May 1, 2009 Accepting new patients

Locations

107 Terra Bella Blvd
Covington, LA 70433
Phone (985) 875-7898

1431 Ochsner Blvd
Ste A
Covington, LA 70433
Phone (985) 302-5225

190 Greenbrier Blvd
Ste 105
Covington, LA 70433
Phone (985) 875-7898

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1083775746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OCHSNER BLVD",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-875-7898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OCHSNER BLVD",
            "address_2": "SUITE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-875-7898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIO",
        "first_name": "JEFF",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1316-452T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1553613",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.