Organization Active NPI

Devjani Lahiri-Munir, a Professional Corporation

  • Vision Therapy Optometrist
  • Donaldsonville, LA
National Provider Identifier
1417138751
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1325459T Issued in LA
Legal business name
DEVJANI LAHIRI-MUNIR, A PROFESSIONAL CORPORATION
Practice address
309 Iberville St
Donaldsonville, LA 70346
Phone
(225) 473-3124
Fax
(225) 473-7006
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Devjani Lahiri-Munir, O.DNPI 1841371341
Title
President
Phone
(225) 473-3124

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
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 1325459T LA Primary

Addresses

Primary practice location

309 Iberville St
Donaldsonville, LA 70346

Mailing address

309 Iberville St
Donaldsonvlle, LA 70346-2421
Phone (225) 473-3124

Other identifiers 1

IdentifierTypeStateIssuer
1114758MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040515000090 LA Part B Supplier - Clinic/Group Practice 7618967209 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA; Donaldsonville, LA
O20180723000319 MS Part B Supplier - Clinic/Group Practice 7618967209 Receives reassigned benefits from 1 practitioner
Practice locations: Woodville, MS

National Provider Directory

National Provider Directory

Locations

7777 Hennessy Blvd
Ste 3001
Baton Rouge, LA 70808
Phone (225) 768-7777

921 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2020

309 Iberville St
Donaldsonvlle, LA 70346
Phone (225) 473-3124

Practitioners & affiliated clinicians

Practitioners 2

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1417138751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 IBERVILLE ST",
            "city": "DONALDSONVLLE",
            "state": "LA",
            "postal_code": "703462421",
            "telephone_number": "225-473-3124",
            "fax_number": "225-473-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 IBERVILLE ST",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "70346",
            "telephone_number": "225-473-3124",
            "fax_number": "225-473-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVJANI LAHIRI-MUNIR, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "LAHIRI-MUNIR",
        "authorized_official_first_name": "DEVJANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-473-3124",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "LA",
            "license": "1325459T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114758",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.