Organization Active NPI

The Optical Shoppe

  • Eyewear Supplier
  • Hammond, LA
National Provider Identifier
1689846487
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
THE OPTICAL SHOPPE
Practice address
1615 SW Railroad Ave
Hammond, LA 70403-6113
Phone
(985) 345-1513
Fax
(985) 345-5800
NPI assigned
Apr 1, 2008
Organization subpart
Yes
Parent organization
EYE PHYSICIANS & SURGEONS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Dr. Michael Leonard Fajoni, M.D.NPI 1255339545
Title
President
Phone
(985) 345-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1615 SW Railroad Ave
Hammond, LA 70403-6113

Mailing address

PO Box 2988
Hammond, LA 70404-2988
Phone (985) 345-0050

Other identifiers 1

IdentifierTypeStateIssuer
1980421MedicaidLA

National Provider Directory

National Provider Directory
Part of
Eye Physicans and Surge

Locations

1615 SW Railroad Ave
Hammond, LA 70403
Phone (504) 345-0050

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1689846487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2988",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042988",
            "telephone_number": "985-345-0050",
            "fax_number": "985-345-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 SW RAILROAD AVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704036113",
            "telephone_number": "985-345-1513",
            "fax_number": "985-345-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL SHOPPE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS & SURGEONS, INC",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "FAJONI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-345-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1980421",
            "state": "LA"
        }
    ],
    "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 May 15, 2009; 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.