Individual provider Active NPI

Philip A. Lahaye, O.D.

  • Optometrist
  • Shreveport, LA
National Provider Identifier
1164516340
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
865-082T Issued in LA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1303698MedicaidLA

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.

Verify at the official NPI Registry.