Individual provider Active NPI

Tracy Mai

  • Optometrist
  • Marrero, LA
National Provider Identifier
1093548661
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2043-989AT Issued in LA
Practice address
1670 Barataria Blvd # D
Marrero, LA 70072-4354
Phone
(504) 348-2993
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2043-989AT LA Primary

Addresses

Primary practice location

1670 Barataria Blvd # D
Marrero, LA 70072-4354

Mailing address

6040 Wright Rd
New Orleans, LA 70128-2716

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
I20241101000021 LA Practitioner - Optometry 5395278196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater New Orleans Eye Care LLCGroup PAC ID 3779808100, 2 clinicians

Practice addresses (Care Compare)

1670 Barataria Blvd
Suite D
Marrero, LA 70072-4354
Phone (504) 348-2993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2043-989ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater New Orleans Eye Care LLC Optometrist CurrentSince Sep 3, 2024 Accepting new patients

Locations

1670 Barataria Blvd
Ste D
Marrero, LA 70072
Phone (504) 348-2993

Networks

  • LA PPO C-SNP

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1093548661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 WRIGHT RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701282716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 BARATARIA BLVD # D",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724354",
            "telephone_number": "504-348-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2043-989AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.