NPIMap

Organization Active NPI

Executive Look Optical LLC

  • Eyewear Supplier
  • Harvey, LA
National Provider Identifier
1811023690
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EXECUTIVE LOOK OPTICAL LLC
Practice address
2010 Woodmere Blvd
Suite H
Harvey, LA 70058-2286
Phone
(504) 371-8044
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mr. Steve A Murray
Title
Owner
Phone
(504) 371-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2010 Woodmere Blvd
Suite H
Harvey, LA 70058-2286

Mailing address

2010 Woodmere Blvd
Suite H
Harvey, LA 70058-2286
Phone (504) 371-8044

Other identifiers 2

IdentifierTypeStateIssuer
1621871MedicaidLA
OP1601OtherEYEMED VISION CARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1811023690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 WOODMERE BLVD",
            "address_2": "SUITE H",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582286",
            "telephone_number": "504-371-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 WOODMERE BLVD",
            "address_2": "SUITE H",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582286",
            "telephone_number": "504-371-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE LOOK OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-371-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1621871",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "OP1601",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.