Individual provider Active NPI

Anna H Douglass, OD

  • Optometrist
  • Metairie, LA
National Provider Identifier
1609502327
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1960-906AT Issued in LA
Practice address
3221 N Causeway Blvd
Metairie, LA 70002-4837
Phone
(504) 737-3456
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1960-906AT LA Primary

Addresses

Primary practice location

3221 N Causeway Blvd
Metairie, LA 70002-4837

Mailing address

3221 N Causeway Blvd
Metairie, LA 70002-4837
Phone (985) 624-5058

Other practice location 1

2 Sanctuary Blvd Ste 303
Mandeville, LA 70471-2968
Phone (985) 624-5058

Other practice location 2

1185 Robert Blvd
Slidell, LA 70458-2013
Phone (985) 641-2252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220817001458 LA Practitioner - Optometry 7911380357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4 Your Eyes, LLCGroup PAC ID 7911083571, 5 clinicians

Practice addresses (Care Compare)

2 Sanctuary Blvd
Suite 303
Mandeville, LA 70471-2968
Phone (985) 624-5058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
4 Your Eyes, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

2 Sanctuary Blvd
Ste 303
Mandeville, LA 70471
Phone (985) 624-5058

3221 N Causeway Blvd
Metairie, LA 70002
Phone (504) 737-3456

3221 N Causeway Blvd
#2020
Metairie, LA 70002
Phone (504) 737-3456

1185 Robert Blvd
Slidell, LA 70458
Phone (985) 641-2252

1185 Robert Blvd
#2020
Slidell, LA 70458
Phone (985) 641-2252

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1609502327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024837",
            "telephone_number": "985-624-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024837",
            "telephone_number": "504-737-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Sanctuary Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Mandeville",
            "state": "LA",
            "postal_code": "704712968",
            "country_code": "US",
            "telephone_number": "985-624-5058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1185 Robert Blvd",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582013",
            "country_code": "US",
            "telephone_number": "985-641-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "ANNA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1960-906AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.