NPIMap

Organization Active NPI

Eyemax Family Optical

  • Eyewear Supplier
  • Baton Rouge, LA
National Provider Identifier
1437320405
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
6872006003 Issued in LA
Legal business name
EYEMAX FAMILY OPTICAL
Practice address
11424 Sullivan Rd
BLDG a Suite a
Baton Rouge, LA 70818-3615
Phone
(225) 262-8141
Fax
(225) 262-8142
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Ms. Donna Lynn Decker
Title
Optical Store Manager
Phone
(225) 262-8141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6872006003 LA Primary

Addresses

Primary practice location

11424 Sullivan Rd
BLDG a Suite a
Baton Rouge, LA 70818-3615

Mailing address

11424 Sullivan Rd
BLDG a Suite a
Baton Rouge, LA 70818-3615
Phone (225) 262-8141

National Provider Directory

National Provider Directory

Locations

11424 Sullivan Rd
#A-a
Baton Rouge, LA 70818
Phone (225) 262-8141

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1437320405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11424 SULLIVAN RD",
            "address_2": "BLDG A SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183615",
            "telephone_number": "225-262-8141",
            "fax_number": "225-262-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11424 SULLIVAN RD",
            "address_2": "BLDG A SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183615",
            "telephone_number": "225-262-8141",
            "fax_number": "225-262-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAX FAMILY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTICAL STORE MANAGER",
        "authorized_official_telephone_number": "225-262-8141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": "6872006003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.