NPIMap

Organization Active NPI

Nola Eye Care LLC

  • Optometrist
  • Chalmette, LA
National Provider Identifier
1629454608
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1791-725T Issued in LA
Legal business name
NOLA EYE CARE LLC
Practice address
8101 W Judge Perez Dr
Inside Walmart Vision Center
Chalmette, LA 70043-1661
Phone
(504) 278-2277
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Leslie Pham, O.D.
Title
Sole Member
Phone
(713) 382-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1791-725T LA Primary

Addresses

Primary practice location

8101 W Judge Perez Dr
Inside Walmart Vision Center
Chalmette, LA 70043-1661

Mailing address

3417 Cavendish PL
Harvey, LA 70058-7401

Other identifiers 1

IdentifierTypeStateIssuer
1659780203OtherLANPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1629454608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 CAVENDISH PL",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700587401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 W JUDGE PEREZ DR",
            "address_2": "INSIDE WALMART VISION CENTER",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431661",
            "telephone_number": "504-278-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "713-382-5511",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1791-725T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659780203",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.