Individual provider Active NPI

Laura Melissa Centola, OD

  • Optometrist
  • Metairie, LA
National Provider Identifier
1629806369
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2025-971AT Issued in LA
Practice address
4324 Veterans Memorial Blvd Ste 102
Metairie, LA 70006-5429
Phone
(504) 455-9825
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2025-971AT LA Primary

Addresses

Primary practice location

4324 Veterans Memorial Blvd Ste 102
Metairie, LA 70006-5429

Mailing address

351 30TH St
New Orleans, LA 70124-1333
Phone (318) 789-5153

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
I20240823002844 LA Practitioner - Optometry 2365981131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Providers, LLCGroup PAC ID 2567359318, 14 clinicians

Practice addresses (Care Compare)

370 Belle Terre Blvd
La Place, LA 70068-2435
Phone (958) 652-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025-971ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lcentola@esp.intellechartdirect.net

Organizations & group practices 3

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1629806369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 30TH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241333",
            "telephone_number": "318-789-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 VETERANS MEMORIAL BLVD STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065429",
            "telephone_number": "504-455-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTOLA",
        "first_name": "LAURA",
        "middle_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2025-971AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.