Michael N Kleamenakis

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

1030-060T Issued in LA

Legal business name

MICHAEL N KLEAMENAKIS

Practice address

4114 Marigny St
New Orleans, LA 70122-4931

Phone

(504) 288-2333

Fax

(504) 288-2227

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Michael Kleamenakis, O.D.NPI 1053412114

Title

Owner

Phone

(504) 288-2333

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gentilly Vision Source Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Nicholas Kleamenakis, OD

  • Optometrist
  • New Orleans, LA
  • NPI 1053412114
  NPD Authorized official
• Elliot Finkelstein, OD

  • Optometrist
  • Metairie, LA
  • NPI 1366443160
  NPD (past)

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1780907782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 MARIGNY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224931",
            "telephone_number": "504-288-2333",
            "fax_number": "504-288-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 MARIGNY ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701224931",
            "telephone_number": "504-288-2333",
            "fax_number": "504-288-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N KLEAMENAKIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "KLEAMENAKIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-288-2333",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "LA",
            "license": "1030-060T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370142",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentilly Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael D Chafetz PHD LLC
• Michael D Santone,LLC
• Michael F. Adinolfi, M.D.,Apc
• Michael H Moses, Apmc
• Michael Klotz Marriage and Family Therapy, Inc.
• Michael P Kullman Inc
• Hannah Michael, PA-C
• Leszek Michalewicz, M.D.
• Edward L. Michals, M.D.
• Leslie A Michel, MD

• Multi-Specialty Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.