Grand Vision Lafreniere, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

869112T Issued in LA

Legal business name

GRAND VISION LAFRENIERE, L.L.C.

Doing business as

Grand Vision

Practice address

6601 Veterans Memorial Blvd
Ste 19 - 21
Metairie, LA 70003-3943

Phone

(504) 322-7525

Fax

(504) 322-7529

NPI assigned

Mar 7, 2011

Organization subpart

Yes

Parent organization

GRAND VISION, L.L.C.As reported in NPPES

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

Authorized official

Name

Dr. John Musselman, O.D.

Title

Owner

Phone

(504) 322-7525

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grand Vision Doing business as

Locations

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1427356062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 VETERANS MEMORIAL BLVD",
            "address_2": "STE 19 - 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033943",
            "telephone_number": "504-322-7525",
            "fax_number": "504-322-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 VETERANS MEMORIAL BLVD",
            "address_2": "STE 19 - 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700033943",
            "telephone_number": "504-322-7525",
            "fax_number": "504-322-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VISION LAFRENIERE, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND VISION, L.L.C.",
        "enumeration_date": "2011-03-07",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "MUSSELMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-322-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "869112T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950815",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Cosentino Graft
• George Paterson Graham, MD
• Jessica Graham, PT
• Michael E Graham, M.D.
• Zachary Graham
• Anna Leblanc Grand, CRNA
• Sean Grand, CRNA
• Ashanti Rushawn Granderson
• Alexandra Grandonico
• Stephen Granger

• Optometrist in Metairie, LA
• Providers in Metairie, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.