Individual provider Active NPI

Kevin Sorya, O.D., M.P.H.

  • Optometrist
  • Hammond, LA
National Provider Identifier
1649793290
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1853-787AT Issued in LA
Practice address
1705 S Morrison Blvd
Hammond, LA 70403-5737
Phone
(985) 345-2020
NPI assigned
Jul 25, 2017
Last updated
Jul 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1853-787AT LA
Optometrist 152W00000X 1853-787AT LA Primary

Addresses

Primary practice location

1705 S Morrison Blvd
Hammond, LA 70403-5737

Mailing address

1705 S Morrison Blvd
Hammond, LA 70403-5737
Phone (985) 345-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1853-787ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Louisiana Professional PC Optometrist CurrentSince Sep 17, 2024 Accepting new patients

Locations

60007 W Way Dr
Amite, LA 70422
Phone (985) 748-8096

222 Veterans Blvd
Denham Springs, LA 70726
Phone (225) 791-2020

1705 S Morrison Blvd
Hammond, LA 70403
Phone (225) 523-7624

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1649793290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035737",
            "telephone_number": "985-345-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035737",
            "telephone_number": "985-345-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORYA",
        "first_name": "KEVIN",
        "credential": "O.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "1853-787AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1853-787AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.