Active NPI
Philip A. Lahaye, O.D.
- Optometrist
- Shreveport, LA
National Provider Identifier
1164516340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 865-082T
- Practice address
- 7020 Youree Dr Ste a
Shreveport, LA 71105-5109 - Phone
- (318) 524-1400
- Fax
- (318) 524-1900
- NPI assigned
- Oct 3, 2006
- Last updated
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 865-082T | LA | Primary |
Addresses
Primary practice location
7020 Youree Dr Ste a
Shreveport, LA 71105-5109
Mailing address
7400 Youree Dr
Shreveport, LA 71105-5536
Phone (318) 524-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303698 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1164516340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 YOUREE DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055536",
"telephone_number": "318-524-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7020 YOUREE DR STE A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055109",
"telephone_number": "318-524-1400",
"fax_number": "318-524-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAHAYE",
"first_name": "PHILIP",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "865-082T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1303698",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.