Individual provider Active NPI

Charles V. Dileo, O.D.

  • Optometrist
  • Kenner, LA
National Provider Identifier
1467624601
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
934-223T Issued in LA
Practice address
1401 W Esplanade Ave
Ste 2020
Kenner, LA 70065-2845
Phone
(504) 465-0085
Fax
(504) 465-0087
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 934-223T LA Primary

Addresses

Primary practice location

1401 W Esplanade Ave
Ste 2020
Kenner, LA 70065-2845

Mailing address

1401 W Esplanade Ave
Ste 2020
Kenner, LA 70065-2845
Phone (504) 465-0085

Other identifiers 1

IdentifierTypeStateIssuer
1900H1183ZOtherLABLUECROSS BLUESHIELD OF L

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Charles V. Dileo & Associates Optometrist PastSince Apr 13, 1987 Accepting new patients

Organizations & group practices 1

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1467624601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W ESPLANADE AVE",
            "address_2": "STE 2020",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652845",
            "telephone_number": "504-465-0085",
            "fax_number": "504-465-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W ESPLANADE AVE",
            "address_2": "STE 2020",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652845",
            "telephone_number": "504-465-0085",
            "fax_number": "504-465-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEO",
        "first_name": "CHARLES",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "934-223T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF L",
            "identifier": "1900H1183Z",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.