Organization Active NPI

Kan Optometry, LLC

  • Optometrist
  • Slidell, LA
National Provider Identifier
1871459404
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KAN OPTOMETRY, LLC
Practice address
181 Northshore Blvd
Slidell, LA 70460-6821
Phone
(985) 641-1331
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Katie Anh Nguyen, ODNPI 1033005921
Title
Optometrist
Phone
(225) 276-5825

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

181 Northshore Blvd
Slidell, LA 70460-6821

Mailing address

17403 Castle Dr
Prairieville, LA 70769-5200
Phone (225) 276-5825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260228000584 LA Part B Supplier - Clinic/Group Practice 8921580846 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

181 Northshore Blvd
Slidell, LA 70460
Phone (985) 641-1331

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": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1871459404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17403 CASTLE DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695200",
            "telephone_number": "225-276-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 NORTHSHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606821",
            "telephone_number": "985-641-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "225-276-5825",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "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 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.