Active NPI
Kim Thien Ta, OD
- Optometrist
- Houma, LA
National Provider Identifier
1467978684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1860-794AT
- Practice address
- 1633 Martin Luther King Jr Blvd
Houma, LA 70360-2897 - Phone
- (985) 851-6373
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1860-794AT | LA | Primary |
Addresses
Primary practice location
1633 Martin Luther King Jr Blvd
Houma, LA 70360-2897
Mailing address
913 Sydney St
New Iberia, LA 70560-6225
Phone (337) 255-4412
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1860-794AT | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503014400000",
"number": "1467978684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 SYDNEY ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705606225",
"telephone_number": "337-255-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 MARTIN LUTHER KING JR BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602897",
"telephone_number": "985-851-6373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TA",
"first_name": "KIM",
"middle_name": "THIEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2017-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1860-794AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
- Tiffany Swinson
- Patrick Joseph Sylvest, CRNA
- Oksana Aleksandra Symczyk, M.D.
- Synergy Home Care-Southeastern Region Inc
- Jessica T Szush, MCD CCCSLP
- Thomas A Tabor, CRNA
- Comfort Mfobefu Takang, MD, MPH
- Everette Louis Talbot, FNP-C
- Rhonda C Tamberella, CRNA
- Tamela L Marca Charbonnet MD/Lee H Grafton MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.