Organization Active NPI

Dimitri Eye Care, Inc.

Doing business as Dimitri Eye Care

  • Optometrist
  • Metairie, LA
National Provider Identifier
1629292941
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1098-052T Issued in LA
Legal business name
DIMITRI EYE CARE, INC.
Doing business as
Dimitri Eye Care
Practice address
1617 Metairie Rd
Metairie, LA 70005-3976
Phone
(504) 837-3937
Fax
(504) 837-9958
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Authorized official

Name
Dr. George Ronald Dimitri, ODNPI 1265491658
Title
Optometrist
Phone
(504) 837-3937

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1098-052T LA Primary

Addresses

Primary practice location

1617 Metairie Rd
Metairie, LA 70005-3976

Mailing address

701 Metairie Rd
Suite 205
Metairie, LA 70005-4050
Phone (504) 837-3937

Other identifiers 1

IdentifierTypeStateIssuer
1440965MedicaidLA

Other names 1

  • DIMITRI EYE CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819000717 LA Part B Supplier - Clinic/Group Practice 2365576865 Receives reassigned benefits from 3 practitioners
Practice locations: Laplace, LA; Metairie, LA

National Provider Directory

National Provider Directory

Locations

3025 New Highway 51
La Place, LA 70068
Phone (985) 651-2332

701 Metairie Rd
Ste 205
Metairie, LA 70005
Phone (504) 827-1333

701 Metairie Rd
#205
Metairie, LA 70005
Phone (504) 837-3937

Practitioners & affiliated clinicians

Practitioners 4

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720224000000",
    "number": "1629292941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 METAIRIE RD",
            "address_2": "SUITE 205",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054050",
            "telephone_number": "504-837-3937",
            "fax_number": "504-837-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053976",
            "telephone_number": "504-837-3937",
            "fax_number": "504-837-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMITRI EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A",
        "authorized_official_last_name": "DIMITRI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "504-837-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1098-052T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440965",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIMITRI EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.