Washington Ave Medical Plaza

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

WASHINGTON AVE MEDICAL PLAZA

Doing business as

WASHINGTON AVE MEDICAL PLAZA OPTICAL SUPPLIER

Practice address

2121 Magazine St
2121 Magazine Street
New Orleans, LA 70130-5045

Phone

(504) 592-9818

Fax

(504) 525-0152

NPI assigned

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Jobie F Crear, M.D.

Title

President

Phone

(504) 592-9818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WASHINGTON AVE MEDICAL PLAZA OPTICAL SUPPLIER Doing business as

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1154521672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MAGAZINE STREET",
            "address_2": "2121 MAGAZINE STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305045",
            "telephone_number": "504-592-9818",
            "fax_number": "504-525-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAGAZINE ST",
            "address_2": "2121 MAGAZINE STREET",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305045",
            "telephone_number": "504-592-9818",
            "fax_number": "504-525-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON AVE MEDICAL PLAZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "CREAR",
        "authorized_official_first_name": "JOBIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-592-9818",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "OPTICAL SUPPLIER",
            "identifier": "1407593",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WASHINGTON AVE MEDICAL PLAZA OPTICAL SUPPLIER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jontae Deion Warren, PHARMD
• Kiera Warren, NCC, LPC
• Mary Kathryn Warren, M.A. CCC-SLP
• Rajasekharan P Warrier, MD
• Katherine Wilkinson Warrington, LPC
• Washington Avenue Medical Plaza
• Washington Dental Associates, LLC
• Washington G. B. Bryan LTD
• Lekesiah D Washington-Fleury
• Akilah K Washington, MSW

• Eyewear Supplier in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Eyewear Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.