Michael Petros Bilalis, O.D.
Individual provider Active NPI Optometrist · New Orleans, LA
NPI 1215440482 · NPPES record last updated Mar 4, 2022
Key facts
- NPI
- 1215440482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1868-803AT (LA)
- Practice address
- 4114 Marigny St
New Orleans, LA 70122-4931 - Phone
- (504) 231-5239
- NPI assigned
- Nov 9, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407000365 | LA | Practitioner - Optometry | 2264791722 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1868-803AT | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current |
Accepting new patients |
| Health Care for Life Al, LLC | Optometrist | Current | Accepting new patients |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current |
Accepting new patients |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
Locations
523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955
13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484
817 W Esplanade Ave
Kenner, LA 70065
Phone (504) 541-9028
1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 327-2230
3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025
837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871
8040 Saint Charles Ave
New Orleans, LA 70118
Phone (504) 866-6311
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1868-803AT | LA | Yes |
Addresses
Primary practice location
4114 Marigny St
New Orleans, LA 70122-4931
Mailing address
4114 Marigny St
New Orleans, LA 70122-4931
Phone (504) 288-2333
Other practice location 1
523 Gandy St NE Ste A
Russellville, AL 35653-1961
Phone (855) 259-9183
Other practice location 2
817 W Esplanade Ave
Kenner, LA 70065-6219
Phone (504) 712-3551
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.