Organization Active NPI

Slidell Eye Specialists, Apmc

Doing business as Eye Center Optical

  • Eyewear Supplier
  • Slidell, LA
National Provider Identifier
1275659427
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SLIDELL EYE SPECIALISTS, APMC
Doing business as
Eye Center Optical
Practice address
2050 Gause Blvd E Ste 150
Slidell, LA 70461-5414
Phone
(985) 649-0206
Fax
(985) 649-4060
NPI assigned
Mar 21, 2007
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Micheal Brenner
Title
Manager
Phone
(985) 649-0206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

2050 Gause Blvd E Ste 150
Slidell, LA 70461-5414

Mailing address

2050 Gause Blvd E Ste 150
Slidell, LA 70461-5414
Phone (985) 649-0206

Other identifiers 1

IdentifierTypeStateIssuer
113147OtherEYEMED

Other names 1

  • Eye Center Optical Doing business as

National Provider Directory

National Provider Directory

Locations

2053 Gause Blvd E
Ste 100
Slidell, LA 70461
Phone (985) 649-0206

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1275659427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 GAUSE BLVD E STE 150",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615414",
            "telephone_number": "985-649-0206",
            "fax_number": "985-649-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 GAUSE BLVD E STE 150",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615414",
            "telephone_number": "985-649-0206",
            "fax_number": "985-649-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL EYE SPECIALISTS, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-649-0206"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "113147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Center Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Center Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.