Active NPI
Larry J. Caminita, O.D. (Apc)
- Optometrist
- Marrero, LA
National Provider Identifier
1750589750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 859216T
- Legal business name
- LARRY J. CAMINITA, O.D. (APC)
- Practice address
- 1111 Medical Center Blvd
Suite 111
Marrero, LA 70072-3151 - Phone
- (504) 347-6330
- Fax
- (504) 347-6338
- NPI assigned
- Jul 11, 2007
- 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
- Larry John Caminita, O.D.
- Title
- Owner/Optometrist
- Phone
- (504) 347-6330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 859216T | LA | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd
Suite 111
Marrero, LA 70072-3151
Mailing address
1111 Medical Center Blvd
Suite 111
Marrero, LA 70072-3151
Phone (504) 347-6330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1372528 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1111 Medical Center Blvd
#1
Marrero, LA 70072
Phone (504) 347-6330
1111 Medical Center Blvd
Ste 111
Marrero, LA 70072
Phone (504) 347-6330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243814400000",
"number": "1750589750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE 111",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-347-6330",
"fax_number": "504-347-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE 111",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-347-6330",
"fax_number": "504-347-6338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY J. CAMINITA, O.D. (APC)",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2009-06-01",
"status": "A",
"authorized_official_last_name": "CAMINITA",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "504-347-6330",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "LA",
"license": "859216T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1372528",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.