Active NPI
George Ronald Dimitri, OD
- Optometrist
- Metairie, LA
National Provider Identifier
1265491658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1098-052AT
- 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, 2024
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1937827 | Medicaid | LA |
Other names 1
- Ronald G. Dimitri
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
Enrollment records 1
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
Practice addresses (Care Compare)
1617 Metairie Rd
Metairie, LA 70005-3976
Phone (504) 837-3937
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1098-052AT | LA | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.