NPIMap

Organization Active NPI

Vision Center of the South, Inc.

  • Eyewear Supplier
  • New Orleans, LA
National Provider Identifier
1811220775
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1007-345T Issued in LA
Legal business name
VISION CENTER OF THE SOUTH, INC.
Practice address
4200 Canal St
Suite D
New Orleans, LA 70119-5984
Phone
(504) 482-1290
Fax
(504) 482-1292
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. Madeline Maxine Borne, O.D.NPI 1366514424
Title
President/Owner-Optometrist
Phone
(504) 482-1290

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
Eyewear Supplier 332H00000X 1007-345T LA Primary

Addresses

Primary practice location

4200 Canal St
Suite D
New Orleans, LA 70119-5984

Mailing address

4200 Canal St
Suite D
New Orleans, LA 70119-5984
Phone (504) 482-1290

Other identifiers 1

IdentifierTypeStateIssuer
1363863MedicaidLA

National Provider Directory

National Provider Directory

Locations

4200 Canal St
Ste D
New Orleans, LA 70119
Phone (504) 451-8673

Practitioners & affiliated clinicians

Practitioners 2

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": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1811220775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 CANAL ST",
            "address_2": "SUITE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195984",
            "telephone_number": "504-482-1290",
            "fax_number": "504-482-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 CANAL ST",
            "address_2": "SUITE D",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195984",
            "telephone_number": "504-482-1290",
            "fax_number": "504-482-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTER OF THE SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "MAXINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER-OPTOMETRIST",
        "authorized_official_telephone_number": "504-482-1290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": "1007-345T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1363863",
            "state": "LA"
        }
    ],
    "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 Sep 10, 2009; 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.