Active NPI
Leann Douglas, O.D.
- Optometrist
- New Orleans, LA
National Provider Identifier
1669855110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- LA1854-788AT
- Practice address
- 2400 Canal St
New Orleans, LA 70119-6535 - Phone
- (504) 507-2000
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3255 | TN | |
| Optometrist | 152W00000X | LA1854-788AT | LA | Primary |
Addresses
Primary practice location
2400 Canal St
New Orleans, LA 70119-6535
Mailing address
3928 Civic St
Metairie, LA 70001-4910
Other practice location 1
1030 Jefferson Ave
(112D)
Memphis, TN 38104-2127
Phone (414) 614-0414
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA1854-788AT | LA | MD | Optometrist |
| 3255 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1669855110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3928 CIVIC ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700014910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196535",
"telephone_number": "504-507-2000"
}
],
"practiceLocations": [
{
"address_1": "1030 Jefferson Ave",
"address_2": "(112D)",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381042127",
"country_code": "US",
"telephone_number": "414-614-0414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUGLAS",
"first_name": "LEANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3255",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "LA1854-788AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.