Organization Active NPI

Greater New Orleans Eye Care LLC

  • Optometrist
  • Marrero, LA
National Provider Identifier
1194140285
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1635-669T Issued in LA
Legal business name
GREATER NEW ORLEANS EYE CARE LLC
Practice address
1670 Barataria Blvd
Suite D
Marrero, LA 70072-4354
Phone
(504) 348-2993
Fax
(504) 340-4468
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Jeffrey Paul Wilhite, O.D.NPI 1639424997
Title
Optometrist/Owner
Phone
(615) 653-8663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1635-669T LA Primary

Addresses

Primary practice location

1670 Barataria Blvd
Suite D
Marrero, LA 70072-4354

Mailing address

1670 Barataria Blvd
Suite D
Marrero, LA 70072-4354
Phone (504) 348-2993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150206000316 LA Part B Supplier - Clinic/Group Practice 3779808100 Receives reassigned benefits from 2 practitioners
Practice locations: Marrero, LA

National Provider Directory

National Provider Directory

Locations

1 Storehouse Ln
Ste B
Destrehan, LA 70047
Phone (504) 348-2993

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1194140285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 BARATARIA BLVD",
            "address_2": "SUITE D",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724354",
            "telephone_number": "504-348-2993",
            "fax_number": "504-340-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 BARATARIA BLVD",
            "address_2": "SUITE D",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700724354",
            "telephone_number": "504-348-2993",
            "fax_number": "504-340-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW ORLEANS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "WILHITE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "615-653-8663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1635-669T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.