Organization Active NPI

Nola Ophthalmology Inc

  • Ophthalmology Physician
  • New Orleans, LA
National Provider Identifier
1710356878
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.204065 Issued in LA
Legal business name
NOLA OPHTHALMOLOGY INC
Practice address
5646 Read Blvd
Suite 180
New Orleans, LA 70127-3106
Phone
(504) 383-5518
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
An Nguyen, MDNPI 1508007576
Title
Director
Phone
(504) 383-5518

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
Ophthalmology Physician 207W00000X MD.204065 LA Primary

Addresses

Primary practice location

5646 Read Blvd
Suite 180
New Orleans, LA 70127-3106

Mailing address

5646 Read Blvd
Suite 180
New Orleans, LA 70127-3106

Other identifiers 1

IdentifierTypeStateIssuer
1978167MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151016000361 LA Part B Supplier - Clinic/Group Practice 2961711817 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

5646 Read Blvd
Ste 180
New Orleans, LA 70127
Phone (504) 383-5518

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1710356878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5646 READ BLVD",
            "address_2": "SUITE 180",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5646 READ BLVD",
            "address_2": "SUITE 180",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-383-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA OPHTHALMOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-383-5518",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.204065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978167",
            "state": "LA"
        }
    ],
    "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 Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.