Active NPI
Michael L Fajoni, M.D.
- Ophthalmology Physician
- Hammond, LA
National Provider Identifier
1255339545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 10542
- Practice address
- 1615 SW Railroad Ave
Hammond, LA 70403-6113 - Phone
- (985) 345-0050
- Fax
- (985) 345-5800
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 10542 | LA | Primary |
Addresses
Primary practice location
1615 SW Railroad Ave
Hammond, LA 70403-6113
Mailing address
PO Box 2988
Hammond, LA 70404-2988
Phone (985) 345-0050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180006364 | Other | LA | RAILROAD MEDICARE |
| 1105813 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10542 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Optical Shoppe | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Hammond, LA
- NPI 1689846487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429833600000",
"number": "1255339545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2988",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704042988",
"telephone_number": "985-345-0050",
"fax_number": "985-345-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 SW RAILROAD AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704036113",
"telephone_number": "985-345-0050",
"fax_number": "985-345-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAJONI",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2015-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "10542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180006364",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1105813",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
- Eye Physicians & Surgeons, Inc
- Tonya Doan Ezell, SLP
- Michael Edward Fahr, M.D.
- Sadie Marelle Failla, BS
- Jessica Granier Fajoni
- John L Fambrough, M.D.
- Family Chiropractic Center
- Family Health Care and Wellness Center
- Family Health Centers LLC (Channell Drugs)
- Family Health Centers LLC (Channell Drugs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.