NPIMap

Organization Active NPI

Center for Vision Development

  • Clinic/Center
  • Thibodaux, LA
National Provider Identifier
1508123050
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1411553T Issued in LA
Legal business name
CENTER FOR VISION DEVELOPMENT
Practice address
417 Saint Mary St
Thibodaux, LA 70301-2724
Phone
(985) 447-2393
Fax
(985) 447-2399
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Dr. David Mitchell, O.D.
Title
Manager
Phone
(985) 447-2393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1411553T LA Primary

Addresses

Primary practice location

417 Saint Mary St
Thibodaux, LA 70301-2724

Mailing address

417 Saint Mary St
Thibodaux, LA 70301-2724
Phone (985) 447-2393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1508123050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SAINT MARY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012724",
            "telephone_number": "985-447-2393",
            "fax_number": "985-447-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SAINT MARY ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012724",
            "telephone_number": "985-447-2393",
            "fax_number": "985-447-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VISION DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-447-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "1411553T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.