Individual provider Active NPI

James Connor, O.D.

  • Optometrist
  • Mandeville, LA
National Provider Identifier
1265870133
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1855-789AT Issued in LA
Practice address
2180 N Causeway Blvd Ste 10
Mandeville, LA 70471-6503
Phone
(985) 202-5626
Fax
(985) 256-4840
NPI assigned
Jun 12, 2013
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8282T TX
Optometrist 152W00000X 1855-789AT LA Primary

Addresses

Primary practice location

2180 N Causeway Blvd Ste 10
Mandeville, LA 70471-6503

Mailing address

PO Box 61
Mandeville, LA 70470-0061
Phone (985) 202-5626

Other practice location 1

1120 N Highway 190
Covington, LA 70433-5178
Phone (985) 893-5777

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
I20171030000691 LA Practitioner - Optometry 0244462455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2180 N Causeway Blvd
Suite 10
Mandeville, LA 70471-6503
Phone (985) 202-5626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8282TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Eye Clinic Optometrist Current Accepting new patients
Connor Eye Care Optometrist CurrentSince Jan 31, 2020 Accepting new patients

Locations

2180 N Causeway Blvd
Ste 10
Mandeville, LA 70471
Phone (210) 739-4098

Organizations & group practices 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1265870133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700061",
            "telephone_number": "985-202-5626",
            "fax_number": "985-256-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 N CAUSEWAY BLVD STE 10",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716503",
            "telephone_number": "985-202-5626",
            "fax_number": "985-256-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 N Highway 190",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335178",
            "country_code": "US",
            "telephone_number": "985-893-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8282T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1855-789AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.