Organization Active NPI

Langhetee Eye Center LLC

  • Optometrist
  • Metairie, LA
National Provider Identifier
1124526371
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LANGHETEE EYE CENTER LLC
Practice address
2201 Veterans Memorial Blvd Ste 402
Metairie, LA 70002-6326
Phone
(504) 777-7733
Fax
(504) 648-1418
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Wanda Theriot
Title
Attorney/Manager
Phone
(504) 495-6728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

2201 Veterans Memorial Blvd Ste 402
Metairie, LA 70002-6326

Mailing address

PO Box 9249
Metairie, LA 70055-9249
Phone (504) 495-6728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180418001363 LA Part B Supplier - Clinic/Group Practice 4385907708 Receives reassigned benefits from 2 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

2201 Veterans Memorial Blvd
Ste 402
Metairie, LA 70002
Phone (504) 777-7733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1124526371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9249",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700559249",
            "telephone_number": "504-495-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 VETERANS MEMORIAL BLVD STE 402",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026326",
            "telephone_number": "504-777-7733",
            "fax_number": "504-648-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGHETEE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "THERIOT",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "ATTORNEY/MANAGER",
        "authorized_official_telephone_number": "504-495-6728"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.