Glen Lamonica, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

979-137T Issued in LA

Practice address

14241 Coursey Blvd
Suite A8
Baton Rouge, LA 70817-1368

Phone

(225) 751-5554

Fax

(225) 751-5554

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Medical Center, Apmc

  • Optometrist
  • Baton Rouge, LA
  • NPI 1053422113
  Medicare reassignment NPD
• Eye Physicians & Surgeons, Inc

  • Ophthalmology Physician
  • Hammond, LA
  • NPI 1265413306
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154372696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 COURSEY BLVD",
            "address_2": "SUITE A8",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171368",
            "telephone_number": "225-751-5554",
            "fax_number": "225-751-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 COURSEY BLVD",
            "address_2": "SUITE A8",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171368",
            "telephone_number": "225-751-5554",
            "fax_number": "225-751-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONICA",
        "first_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "979-137T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Lambert II, MD
• Lamberts Limbs & Braces Inc.
• Joseph Lamendola, O.D.
• Louie Lamendola, D.D.S.
• Oleana Naomi Lamendola, M.D.
• Jaime Lynn Lamothe, PT, DPT
• Paul A Lamothe Jr., P.T.
• Kristen Lamotte, MSW, CSW
• Lance Christopher Lamotte, MD
• Tadrecka Lamotte, BSW, RSW

• Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.