Organization Active NPI

Bohn & Joseph Optical Boutique LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
National Provider Identifier
1477794477
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BOHN & JOSEPH OPTICAL BOUTIQUE LLC
Practice address
609 Guilbeau Rd
Lafayette, LA 70506-8708
Phone
(337) 981-6432
Fax
(337) 981-9134
NPI assigned
Mar 20, 2009
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Barry A Bohn, M.D.NPI 1881697241
Title
Registered Agent
Phone
(337) 981-6432

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

609 Guilbeau Rd
Lafayette, LA 70506-8708

Mailing address

609 Guilbeau Rd
Lafayette, LA 70506-8708
Phone (337) 981-6432

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1477794477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 GUILBEAU RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068708",
            "telephone_number": "337-981-6432",
            "fax_number": "337-981-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 GUILBEAU RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705068708",
            "telephone_number": "337-981-6432",
            "fax_number": "337-981-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHN & JOSEPH OPTICAL BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "337-981-6432",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.