Active NPI
Anthony Dimaggio, O.D.
- Optometrist
- Leesville, LA
National Provider Identifier
1295760635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1282-438T
- Practice address
- 2204 S 5TH St
Leesville, LA 71446-5318 - Phone
- (337) 238-9819
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1282-438T | LA | Primary |
Addresses
Primary practice location
2204 S 5TH St
Leesville, LA 71446-5318
Mailing address
1299 Highway 3226
Deridder, LA 70634-9133
Phone (337) 463-6169
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimaggio Family Eye Care, Inc. | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Deridder, LA
- NPI 1023345659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295760635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 HIGHWAY 3226",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706349133",
"telephone_number": "337-463-6169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 S 5TH ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "714465318",
"telephone_number": "337-238-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMAGGIO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1282-438T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.