Active NPI
Toni C Harveyod Apo LLC
- Optometrist
- Alexandria, LA
National Provider Identifier
1396968640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1071-114T
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1442186 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Alexandria, LA
- NPI 1164426839
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.