NPIMap

Organization Active NPI

O'Neal Eyecare, LLC

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1497122402
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10521321#AR93 Issued in LA
Legal business name
O'NEAL EYECARE, LLC
Practice address
4747 Oneal LN
Suite a
Baton Rouge, LA 70817-1638
Phone
(225) 755-0988
Fax
(225) 755-3235
NPI assigned
Aug 25, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Jeff Dibenedetto, O.D.
Title
Owner
Phone
(225) 755-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10521321#AR93 LA Primary

Addresses

Primary practice location

4747 Oneal LN
Suite a
Baton Rouge, LA 70817-1638

Mailing address

4747 Oneal LN
Suite a
Baton Rouge, LA 70817-1638
Phone (225) 755-0988

National Provider Directory

National Provider Directory

Locations

4747 Oneal Ln
#A
Baton Rouge, LA 70817
Phone (225) 755-0988

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": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1497122402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 ONEAL LN",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171638",
            "telephone_number": "225-755-0988",
            "fax_number": "225-755-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 ONEAL LN",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171638",
            "telephone_number": "225-755-0988",
            "fax_number": "225-755-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'NEAL EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "DIBENEDETTO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-755-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "10521321#AR93",
            "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 Aug 25, 2015; 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.