Dr. Manuel M. de la Rua, O.D., L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

992-202T Issued in LA

Legal business name

DR. MANUEL M. DE LA RUA, O.D., L.L.C.

Practice address

3701 Williams Blvd
Suite 204
Kenner, LA 70065-3070

Phone

(504) 443-9485

Fax

(504) 443-5834

NPI assigned

Feb 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Tracey De la Rua

Title

Office Manager

Phone

(504) 443-9485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1194140475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WILLIAMS BLVD",
            "address_2": "SUITE 204",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653070",
            "telephone_number": "504-443-9485",
            "fax_number": "504-443-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 WILLIAMS BLVD",
            "address_2": "SUITE 204",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653070",
            "telephone_number": "504-443-9485",
            "fax_number": "504-443-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MANUEL M. DE LA RUA, O.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "DE LA RUA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "TRACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-443-9485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "992-202T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Kenner, LA
• Providers in Kenner, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.