Individual provider Active NPI

Michael Petros Bilalis, O.D.

  • Optometrist
  • New Orleans, LA
National Provider Identifier
1215440482
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1868-803AT Issued in LA
Practice address
4114 Marigny St
New Orleans, LA 70122-4931
Phone
(504) 231-5239
NPI assigned
Nov 9, 2017
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1868-803AT LA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200407000365 LA Practitioner - Optometry 2264791722 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1868-803ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care for Life Al, LLC Optometrist Current Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist Current Accepting new patients
Michael N Kleamenakis PastSince Jan 1, 2020 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) 712-3551

1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 327-2230

3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025

8040 Saint Charles Ave
New Orleans, LA 70118
Phone (504) 866-6311

837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1215440482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 MARIGNY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224931",
            "telephone_number": "504-288-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MARIGNY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224931",
            "telephone_number": "504-231-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 Gandy St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AL",
            "postal_code": "356531961",
            "country_code": "US",
            "telephone_number": "855-259-9183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 W Esplanade Ave",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700656219",
            "country_code": "US",
            "telephone_number": "504-712-3551",
            "fax_number": "504-712-3556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILALIS",
        "first_name": "MICHAEL",
        "middle_name": "PETROS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1868-803AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.