Active NPI
Walter Lee Terrell III, MD
- Ophthalmology Physician
- Metairie, LA
National Provider Identifier
1669473369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 014329
- Practice address
- 2800 Veterans Blvd
Suite 125
Metairie, LA 70002 - Phone
- (504) 833-5573
- Fax
- (504) 832-9629
- NPI assigned
- Aug 3, 2005
- Last updated
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 014329 | LA | Primary |
Addresses
Primary practice location
2800 Veterans Blvd
Suite 125
Metairie, LA 70002
Mailing address
2800 Veterans Blvd
Suite 125
Metairie, LA 70002
Phone (504) 833-5573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1338567 | Medicaid | LA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14329 | LA | MD | Pharmacist |
| 014329 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pupils Optical LLC | Current | Accepting new patients | |
| Haik & Terrell, LLC | Current | Accepting new patients | |
| Joshua M. Groetsch, MD LLC | Ophthalmology | Past | Accepting new patients |
| University Optical & Contact | Past | Accepting new patients | |
| George M Haik Eye Clinic | Past | Accepting new patients |
Interoperability endpoints
- terrell@ht.direct.iopracticeware.com
Organizations & group practices 5
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.
-
- Specialist
- Luling, LA
- NPI 1558497289
-
- Specialist
- New Orleans, LA
- NPI 1346390416
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1740865864
-
- Eyewear Supplier
- New Orleans, LA
- NPI 1720138803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1669473369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 VETERANS BLVD",
"address_2": "SUITE 125",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-833-5573",
"fax_number": "504-832-9629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 VETERANS BLVD",
"address_2": "SUITE 125",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70002",
"telephone_number": "504-833-5573",
"fax_number": "504-832-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRELL",
"first_name": "WALTER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "014329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1338567",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.