Organization Active NPI

La Optical LLC

  • Eyewear Supplier
  • Hammond, LA
National Provider Identifier
1174757835
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
88040235 Issued in LA
Legal business name
LA OPTICAL LLC
Practice address
17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone
(985) 542-3336
Fax
(985) 542-0733
NPI assigned
May 11, 2009
Last updated
Oct 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Dr. Eric D Griener, M.D.NPI 1992753545
Title
Owner
Phone
(985) 375-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 88040235 LA Primary

Addresses

Primary practice location

17170 S I 12 Service Rd
Hammond, LA 70403-2408

Mailing address

17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone (985) 542-3336

Other identifiers 1

IdentifierTypeStateIssuer
1407615MedicaidLA

National Provider Directory

National Provider Directory

Locations

17170 S I 12 Service Rd
Hammond, LA 70403
Phone (985) 375-1111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1174757835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-542-3336",
            "fax_number": "985-542-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17170 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-542-3336",
            "fax_number": "985-542-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "GRIENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-375-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": "88040235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407615",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.