Organization Active NPI

Thomas Terrell McGinn Jr OD LLC

  • Low Vision Rehabilitation Optometrist
  • Metairie, LA
National Provider Identifier
1306089255
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
LA 1090-105T Issued in LA
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

Updated by the provider on Mar 30, 2023

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)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.