Organization Active NPI

E C Dean O D

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1700014305
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
843-071T Issued in LA
Legal business name
E C DEAN O D
Practice address
4747 Oneal LN
Baton Rouge, LA 70817-1638
Phone
(225) 755-0988
Fax
(225) 755-3235
NPI assigned
Jun 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
E E Dean O D, OD
Title
Owner
Phone
(225) 755-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 843-071T LA Primary

Addresses

Primary practice location

4747 Oneal LN
Baton Rouge, LA 70817-1638

Mailing address

4747 Oneal LN
Baton Rouge, LA 70817-1638
Phone (225) 755-0988

National Provider Directory

National Provider Directory

Locations

4747 Oneal Ln
Baton Rouge, LA 70817
Phone (225) 755-0988

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1700014305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 ONEAL LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171638",
            "telephone_number": "225-755-0988",
            "fax_number": "225-755-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 ONEAL LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171638",
            "telephone_number": "225-755-0988",
            "fax_number": "225-755-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E C DEAN O D",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "DEAN O D",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-755-0988",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "843-071T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.