Organization Active NPI

Lakefront Eyecare, LLC

  • Optometrist
  • New Orleans, LA
National Provider Identifier
1760245989
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAKEFRONT EYECARE, LLC
Practice address
7211 Regent St Ste B
New Orleans, LA 70124-1683
Phone
(504) 813-0829
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Melissa Dugan, ODNPI 1588099931
Title
Owner
Phone
(504) 766-0313

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7211 Regent St Ste B
New Orleans, LA 70124-1683

Mailing address

7211 Regent St Ste B
New Orleans, LA 70124-1683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503001614 LA Part B Supplier - Clinic/Group Practice 6800236100 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

7211 Regent St
Ste B
New Orleans, LA 70124
Phone (504) 766-0313

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": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1760245989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 REGENT ST STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 REGENT ST STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241683",
            "telephone_number": "504-813-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-766-0313",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 10, 2024; 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.