Organization Active NPI

Slidell Eye Clinic

  • Eyewear Supplier
  • Slidell, LA
National Provider Identifier
1780867762
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SLIDELL EYE CLINIC
Practice address
839 Robert Blvd
Slidell, LA 70458-1639
Phone
(985) 643-4529
Fax
(985) 643-4534
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Mrs. Melba A. Williamson
Title
Owner
Phone
(985) 643-4529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

839 Robert Blvd
Slidell, LA 70458-1639

Mailing address

839 Robert Blvd
Slidell, LA 70458-1639
Phone (985) 643-4529

National Provider Directory

National Provider Directory

Locations

839 Robert Blvd
Slidell, LA 70458
Phone (985) 643-4529

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1780867762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581639",
            "telephone_number": "985-643-4529",
            "fax_number": "985-643-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581639",
            "telephone_number": "985-643-4529",
            "fax_number": "985-643-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MELBA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-643-4529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.