Individual provider Active NPI

George Ronald Dimitri, OD

  • Optometrist
  • Metairie, LA
National Provider Identifier
1265491658
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1098-052AT Issued in LA
Practice address
1617 Metairie Rd
Metairie, LA 70005-3976
Phone
(504) 837-3937
Fax
(504) 837-9958
NPI assigned
Mar 22, 2006
Last updated
Jul 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1098-052AT LA Primary

Addresses

Primary practice location

1617 Metairie Rd
Metairie, LA 70005-3976

Mailing address

701 Metairie Rd
#205
Metairie, LA 70005-4050

Other practice location 1

3025 New Highway 51
LA Place, LA 70068-6470
Phone (985) 651-2332

Other identifiers 1

IdentifierTypeStateIssuer
1937827MedicaidLA

Other names 1

  • Ronald G. Dimitri Professional name

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
I20100924001150 LA Practitioner - Optometry 4183740301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dimitri Eye Care, IncGroup PAC ID 2365576865, 2 clinicians

Practice addresses (Care Compare)

1617 Metairie Rd
Metairie, LA 70005-3976
Phone (504) 837-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1098-052ATLAMDOptometrist

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, 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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1265491658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD",
            "address_2": "#205",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053976",
            "telephone_number": "504-837-3937",
            "fax_number": "504-837-9958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 New Highway 51",
            "address_purpose": "LOCATION",
            "city": "LA Place",
            "state": "LA",
            "postal_code": "700686470",
            "country_code": "US",
            "telephone_number": "985-651-2332",
            "fax_number": "985-651-2306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMITRI",
        "first_name": "GEORGE",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1098-052AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1937827",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "DIMITRI",
            "middle_name": "G.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.