Organization Active NPI

M Teresa Vives MD LLC

  • Ophthalmology Physician
  • Covington, LA
National Provider Identifier
1487886867
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10138R Issued in LA
Legal business name
M TERESA VIVES MD LLC
Practice address
185 Greenbriar Blvd
Covington, LA 70433-7234
Phone
(985) 898-2001
Fax
(985) 898-2010
NPI assigned
Aug 18, 2009
Last updated
Aug 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Ms. Mindy K Turner
Title
Bussiness Office Manager
Phone
(985) 898-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10138R LA Primary

Addresses

Primary practice location

185 Greenbriar Blvd
Covington, LA 70433-7234

Mailing address

1437 Amelia St
New Orleans, LA 70115-3623
Phone (504) 899-4005

Other identifiers 1

IdentifierTypeStateIssuer
1431818MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140721000960 LA Part B Supplier - Clinic/Group Practice 1254557648 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

185 Greenbrier Blvd
Covington, LA 70433
Phone (985) 898-2001

1437 Amelia St
New Orleans, LA 70115
Phone (504) 899-4005

Practitioners & affiliated clinicians

Practitioners 1

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": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1487886867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153623",
            "telephone_number": "504-899-4005",
            "fax_number": "504-899-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 GREENBRIAR BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337234",
            "telephone_number": "985-898-2001",
            "fax_number": "985-898-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M TERESA VIVES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "985-898-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "10138R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431818",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.