Organization Active NPI

Northshore Eye Clinic

  • Optometrist
  • Slidell, LA
National Provider Identifier
1497263545
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1855-789AT Issued in LA
Legal business name
NORTHSHORE EYE CLINIC
Practice address
181 Northshore Blvd
Slidell, LA 70460-6821
Phone
(986) 641-1331
Fax
(985) 641-1353
NPI assigned
Jan 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Dr. James Connor, ODNPI 1265870133
Title
Optometrist
Phone
(210) 739-4098

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1855-789AT LA Primary

Addresses

Primary practice location

181 Northshore Blvd
Slidell, LA 70460-6821

Mailing address

221 S America St
Covington, LA 70433-3527
Phone (210) 739-4098

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1497263545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S AMERICA ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333527",
            "telephone_number": "210-739-4098",
            "fax_number": "985-641-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 NORTHSHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606821",
            "telephone_number": "986-641-1331",
            "fax_number": "985-641-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-739-4098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1855-789AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.