Individual provider Active NPI

Luisa Cristina Andara, O.D.

  • Optometrist
  • Slidell, LA
National Provider Identifier
1346663358
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1642-676T Issued in LA
Practice address
170 Northshore Blvd
Slidell, LA 70460-6846
Phone
(985) 641-1228
NPI assigned
Jan 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1642-676T LA Primary

Addresses

Primary practice location

170 Northshore Blvd
Slidell, LA 70460-6846

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

4423 Camel St Apt D
Metairie, LA 70001-4675
Phone (504) 251-1772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101003451 LA Practitioner - Optometry 6709253867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1642-676TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Artis Beatty a Professional Optometry Corporation Optometrist Current Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Aug 29, 2022 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Aug 29, 2022 Accepting new patients

Locations

13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484

1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 327-2230

837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871

170 Northshore Blvd
Ste C
Slidell, LA 70460
Phone (985) 641-1228

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1346663358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHSHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606846",
            "telephone_number": "985-641-1228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4423 Camel St Apt D",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700014675",
            "country_code": "US",
            "telephone_number": "504-251-1772",
            "fax_number": "504-251-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDARA",
        "first_name": "LUISA",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1642-676T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.