Individual provider Active NPI

Michelle Denise Korcz, O.D.

  • Optometrist
  • New Orleans, LA
National Provider Identifier
1295749638
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1305-441T Issued in LA
Practice address
5300 Freret St
New Orleans, LA 70115-6410
Phone
(504) 891-1553
Fax
(504) 891-4163
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1305-441T LA Primary

Addresses

Primary practice location

5300 Freret St
New Orleans, LA 70115-6410

Mailing address

1835 General Pershing St
Apt. #11
New Orleans, LA 70115-5456
Phone (504) 895-3247

Other identifiers 1

IdentifierTypeStateIssuer
1434868MedicaidLA

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

State licenses

LicenseStateTypeSpecialty
1305-441TLAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295749638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 GENERAL PERSHING ST",
            "address_2": "APT. #11",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701155456",
            "telephone_number": "504-895-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 FRERET ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156410",
            "telephone_number": "504-891-1553",
            "fax_number": "504-891-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORCZ",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1305-441T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1434868",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.