NPIMap

Organization Active NPI

Shirley Oga Koeck OD LLC

  • Optometrist
  • Metairie, LA
National Provider Identifier
1407392939
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1621-654T Issued in LA
Legal business name
SHIRLEY OGA KOECK OD LLC
Practice address
3726 Jean PL
Metairie, LA 70002-4510
Phone
(818) 321-6608
Fax
(818) 638-7377
NPI assigned
Jan 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
Shirley Oga Koeck, O.D.NPI 1720392392
Title
Owner
Phone
(818) 321-6608

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 1621-654T LA Primary

Addresses

Primary practice location

3726 Jean PL
Metairie, LA 70002-4510

Mailing address

3726 Jean PL
Metairie, LA 70002-4510
Phone (818) 321-6608

National Provider Directory

National Provider Directory

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": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1407392939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726 JEAN PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024510",
            "telephone_number": "818-321-6608",
            "fax_number": "818-638-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726 JEAN PL",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024510",
            "telephone_number": "818-321-6608",
            "fax_number": "818-638-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY OGA KOECK OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "KOECK",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "OGA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-321-6608",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1621-654T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 8, 2017; 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.