Organization Active NPI

Toni C Harveyod Apo LLC

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1396968640
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1071-114T Issued in LA
Legal business name
TONI C HARVEYOD APO LLC
Practice address
2148 N Mall Dr
Alexandria, LA 71301-3647
Phone
(318) 442-0243
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Toni C Harvey, O.D.NPI 1164426839
Title
Owner
Phone
(318) 442-0243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1071-114T LA Primary

Addresses

Primary practice location

2148 N Mall Dr
Alexandria, LA 71301-3647

Mailing address

2148 N Mall Dr
Alexandria, LA 71301-3647
Phone (318) 442-0243

Other identifiers 1

IdentifierTypeStateIssuer
1442186MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430001127 LA Part B Supplier - Clinic/Group Practice 1557359452 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, LA

National Provider Directory

National Provider Directory

Locations

2148 N Mall Dr
Alexandria, LA 71301
Phone (318) 442-0243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1396968640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 N MALL DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013647",
            "telephone_number": "318-442-0243",
            "fax_number": "318-442-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 N MALL DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013647",
            "telephone_number": "318-442-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI C HARVEYOD APO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-442-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1071-114T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442186",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.