Organization Active NPI

Atlas Optical Dispensary, LLC

  • Optician
  • Baton Rouge, LA
National Provider Identifier
1104935204
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ATLAS OPTICAL DISPENSARY, LLC
Practice address
4560 North Blvd
Baton Rouge, LA 70806-4043
Phone
(225) 927-4837
NPI assigned
Aug 30, 2006
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Deanna B Albers
Title
Office Manager
Phone
(225) 927-4837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

4560 North Blvd
Baton Rouge, LA 70806-4043

Mailing address

4560 North Blvd
Baton Rouge, LA 70806-4043

Other identifiers 1

IdentifierTypeStateIssuer
1119601MedicaidLA

National Provider Directory

National Provider Directory

Locations

4560 North Blvd
Baton Rouge, LA 70806
Phone (225) 387-2219

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1104935204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-927-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS OPTICAL DISPENSARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "ALBERS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-927-4837"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.