Active NPI
Stevenson Medical Surgical Eye Center
- Ophthalmology Physician
- Raceland, LA
National Provider Identifier
1699886325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 02476R
- Legal business name
- STEVENSON MEDICAL SURGICAL EYE CENTER
- Practice address
- 4777 Hwy 1 S
Raceland, LA 70394 - Phone
- (985) 537-7000
- Fax
- (985) 537-7001
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Onex Dara Stevenson, MD
- Title
- Medical Director Physician
- Phone
- (985) 537-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 02476R | LA | Primary |
Addresses
Primary practice location
4777 Hwy 1 S
Raceland, LA 70394
Mailing address
4777 Hwy 1 South
Raceland, LA 70394
Phone (985) 537-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1798894 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
4777 Highway 1
Raceland, LA 70394
Phone (985) 537-5512
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Houma, LA
- NPI 1649248774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1699886325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 HWY 1 SOUTH",
"city": "RACELAND",
"state": "LA",
"postal_code": "70394",
"telephone_number": "985-537-7000",
"fax_number": "985-537-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 HWY 1 S",
"city": "RACELAND",
"state": "LA",
"postal_code": "70394",
"telephone_number": "985-537-7000",
"fax_number": "985-537-7001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVENSON MEDICAL SURGICAL EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "ONEX",
"authorized_official_middle_name": "DARA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR PHYSICIAN",
"authorized_official_telephone_number": "985-537-7000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "LA",
"license": "02476R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1798894",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raceland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.