Active NPI
Thomas Terrell McGinn Jr OD LLC
- Low Vision Rehabilitation Optometrist
- Metairie, LA
National Provider Identifier
1306089255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- LA 1090-105T
- Legal business name
- THOMAS TERRELL MCGINN JR OD LLC
- Practice address
- 4324 Veterans Blvd, Suite 104
Metairie, LA 70006 - Phone
- (504) 455-7619
- NPI assigned
- Apr 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Terrell McGinn Jr., O.D.
- Title
- Owner
- Phone
- (985) 626-9995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | LA 1090-105T | LA | Primary |
Addresses
Primary practice location
4324 Veterans Blvd, Suite 104
Metairie, LA 70006
Mailing address
550 Evergreen Drive
Mandeville, LA 70448-7575
Phone (985) 626-9995
Other names 1
- Low Vision Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1306089255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 EVERGREEN DRIVE",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704487575",
"telephone_number": "985-626-9995",
"fax_number": "985-626-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4324 VETERANS BLVD, SUITE 104",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70006",
"telephone_number": "504-455-7619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS TERRELL MCGINN JR OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-08",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "MCGINN",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "TERRELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-626-9995",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "LA",
"license": "LA 1090-105T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Low Vision Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Low Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.