Organization Active NPI

Larry J. Caminita, O.D. (Apc)

  • Optometrist
  • Marrero, LA
National Provider Identifier
1750589750
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
859216T Issued in LA
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

Updated by the provider on Jun 1, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1372528MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.