Organization Active NPI

Eyedox Inc.

  • Corneal and Contact Management Optometrist
  • Chalmette, LA
National Provider Identifier
1710995402
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
898-016T Issued in LA
Legal business name
EYEDOX INC.
Practice address
9128 W Judge Perez Dr
Chalmette, LA 70043-4527
Phone
(504) 281-2242
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Dr. Dennis J. Muller, O.D.NPI 1841230521
Title
Owner/Doctor
Phone
(504) 281-2242

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 898-016T LA Primary

Addresses

Primary practice location

9128 W Judge Perez Dr
Chalmette, LA 70043-4527

Mailing address

9128 W Judge Perez Drive
Chalmette, LA 70043-1614
Phone (504) 281-2242

Other identifiers 2

IdentifierTypeStateIssuer
1314625MedicaidLA
1841230521OtherLAPERSONAL NPI

Other names 1

  • Eyedox Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061122000341 LA Part B Supplier - Clinic/Group Practice 7012915291 Receives reassigned benefits from 1 practitioner
Practice locations: Chalmette, LA

National Provider Directory

National Provider Directory

Locations

9128 W Judge Perez Dr
Ste A
Chalmette, LA 70043
Phone (504) 281-2242

9128 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 281-2242

9128 W Judge Perez Dr
Ste C
Chalmette, LA 70043
Phone (504) 281-2242

Practitioners & affiliated clinicians

Practitioners 2

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1710995402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9128 W JUDGE PEREZ DRIVE",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431614",
            "telephone_number": "504-281-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9128 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434527",
            "telephone_number": "504-281-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "504-281-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "LA",
            "license": "898-016T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1314625",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1841230521",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedox Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chalmette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.