NPIMap

Organization Active NPI

Bloom Optometry Clinic, P.C.

  • Optometrist
  • Gretna, LA
National Provider Identifier
1770165987
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BLOOM OPTOMETRY CLINIC, P.C.
Practice address
91 Westbank Expy Ste 510
Gretna, LA 70053-3693
Phone
(504) 366-9435
Fax
(504) 368-5585
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Leah Elizabeth Heitmeier, ODNPI 1902456296
Title
Optometrist
Phone
(504) 366-9435

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

91 Westbank Expy Ste 510
Gretna, LA 70053-3693

Mailing address

91 Westbank Expy Ste 510
Gretna, LA 70053-3693
Phone (504) 366-9435

Other identifiers 2

IdentifierTypeStateIssuer
1350311MedicaidLA
2539329MedicaidLA

Other names 1

  • CLEAR VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

91 Westbank Expy
Ste 510
Gretna, LA 70053
Phone (504) 366-9435

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": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770165987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 WESTBANK EXPY STE 510",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533693",
            "telephone_number": "504-366-9435",
            "fax_number": "504-368-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WESTBANK EXPY STE 510",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533693",
            "telephone_number": "504-366-9435",
            "fax_number": "504-368-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM OPTOMETRY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-03-07",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "HEITMEIER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "504-366-9435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1350311",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2539329",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEAR VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.