Individual provider Active NPI

Toni Coates Harvey, O.D.

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1164426839
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1071-114T Issued in LA
Practice address
2148 N Mall Dr
Alexandria, LA 71301-3647
Phone
(318) 442-0243
Fax
(318) 442-2406
NPI assigned
Jun 9, 2005
Reactivated
Mar 29, 2006
Last updated
Aug 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1071-114T LA Primary

Addresses

Primary practice location

2148 N Mall Dr
Alexandria, LA 71301-3647

Mailing address

2148 N Mall Dr
Alexandria, LA 71301-3647
Phone (318) 442-0243

Other identifiers 1

IdentifierTypeStateIssuer
1442186MedicaidLA

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
I20101120000066 LA Practitioner - Optometry 1254329170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2148 N Mall Dr
Alexandria, LA 71301-3647
Phone (318) 442-0243

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1071-114TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Toni C Harveyod Apo LLC Optometrist CurrentSince Aug 28, 2001 Accepting new patients
Welch Eye Center Past Accepting new patients
Vision Clinic LLC Optometrist PastSince Sep 1, 2004 Accepting new patients

Locations

2148 N Mall Dr
Alexandria, LA 71301
Phone (318) 442-0243

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1164426839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 N MALL DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013647",
            "telephone_number": "318-442-0243",
            "fax_number": "318-442-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 N MALL DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013647",
            "telephone_number": "318-442-0243",
            "fax_number": "318-442-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "TONI",
        "middle_name": "COATES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2014-08-12",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1071-114T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442186",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.