Individual provider Active NPI

Gabriel Kevin Kasovich, OD

  • Optometrist
  • Metairie, LA
National Provider Identifier
1407959406
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1394-524T Issued in LA
Practice address
4324 Veterans Memorial Blvd
Suite 104
Metairie, LA 70006-5445
Phone
(504) 455-9825
Fax
(504) 883-7669
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1394-524T LA Primary

Addresses

Primary practice location

4324 Veterans Memorial Blvd
Suite 104
Metairie, LA 70006-5445

Mailing address

4324 Veterans Memorial Blvd
Suite 104
Metairie, LA 70006-5445
Phone (504) 455-9825

Other identifiers 1

IdentifierTypeStateIssuer
1720712MedicaidLA

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
I20050907000003 LA Practitioner - Optometry 9537191077 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Providers, LLCGroup PAC ID 2567359318, 14 clinicians
Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians

Practice addresses (Care Compare)

370 Belle Terre Blvd
La Place, LA 70068-2435
Phone (958) 652-6066

830 S Broadway St
Acadia St Landry Guest House
Church Point, LA 70525-4402
Phone (337) 684-6316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Eye Care Associates, L.L.C. Optometrist CurrentSince Jan 9, 2026 Accepting new patients
Excel Eyecare, LLC Optometrist CurrentSince Sep 16, 2025 Accepting new patients
Eyecare Providers, LLC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Aria Eye Care, LLC Optometrist CurrentSince Jan 19, 2026 Accepting new patients
Miles H. Friedlander, Apmc Past Accepting new patients
Eyecare Associates, Inc. Optometrist Past Accepting new patients

Locations

14333 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 272-1401

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

4324 Vets Blvd
Metairie, LA 70006
Phone (504) 455-4046

4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006

3715 Prytania St
Ste 250
New Orleans, LA 70115
Phone (504) 897-4567

425 Saint Mary St
Thibodaux, LA 70301
Phone (985) 228-1233

605 River Rock Blvd
Murfreesboro, TN 37128

Organizations & group practices 6

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1407959406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4324 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065445",
            "telephone_number": "504-455-9825",
            "fax_number": "504-883-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 VETERANS MEMORIAL BLVD",
            "address_2": "SUITE 104",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065445",
            "telephone_number": "504-455-9825",
            "fax_number": "504-883-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASOVICH",
        "first_name": "GABRIEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1394-524T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720712",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.