Active NPI
Louisiana State Optical of Lafayette, Inc.
- Eyewear Supplier
- New Iberia, LA
National Provider Identifier
1215064423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LOUISIANA STATE OPTICAL OF LAFAYETTE, INC.
- Practice address
- 826 E Admiral Doyle Dr
New Iberia, LA 70560-6747 - Phone
- (337) 367-6553
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard J. Triche
- Title
- Secretary-Treasurer
- Phone
- (337) 477-3662
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
826 E Admiral Doyle Dr
New Iberia, LA 70560-6747
Mailing address
826 E Admiral Doyle Dr
New Iberia, LA 70560-6747
Phone (337) 367-6553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1380369 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Louisiana State Optical of Lafayette Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Lafayette, LA
- NPI 1598892879
Locations
826 E Admiral Doyle Dr
New Iberia, LA 70560
Phone (337) 367-6553
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Opelousas, LA
- NPI 1083601280
-
- Optometrist
- La Place, LA
- NPI 1831114073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215064423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 E ADMIRAL DOYLE DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705606747",
"telephone_number": "337-367-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 E ADMIRAL DOYLE DR",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705606747",
"telephone_number": "337-367-6553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUISIANA STATE OPTICAL OF LAFAYETTE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRICHE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "SECRETARY-TREASURER",
"authorized_official_telephone_number": "337-477-3662",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1380369",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
- Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de
- Louisiana Em-1 Medical Services, PA
- Louisiana Medical Supply. Inc.
- Louisiana Orthopaedic Specialist, LLC
- Louisiana Orthopaedic Specialists, LLC
- Jenna Louviere-Atkins, PA
- Kellie Louviere
- Sanders Joseph Louvierre III, PHARMD
- Loving Care Hospice, LLC
- Loving Care Sitting Service LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.