Organization Active NPI

Optima Eye Care, LLC

  • Ophthalmology Physician
  • Harvey, LA
National Provider Identifier
1891953980
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13319R Issued in LA
Legal business name
OPTIMA EYE CARE, LLC
Practice address
3909 Lapalco Blvd Ste 200
Harvey, LA 70058-2302
Phone
(504) 349-6215
Fax
(504) 347-6210
NPI assigned
May 27, 2008
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Can N Tran, MDNPI 1639247125
Title
President
Phone
(504) 884-5384

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
Ophthalmology Physician 207W00000X 13319R LA Primary

Addresses

Primary practice location

3909 Lapalco Blvd Ste 200
Harvey, LA 70058-2302

Mailing address

3625 Red Oak CT
New Orleans, LA 70131-8425
Phone (504) 349-6215

Other identifiers 2

IdentifierTypeStateIssuer
1555550MedicaidLA
1639247125OtherLANATIONAL PROVIDER IDENTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000073 LA Part B Supplier - Clinic/Group Practice 3678757846 Receives reassigned benefits from 1 practitioner
Practice locations: Marrero, LA

National Provider Directory

National Provider Directory

Locations

3909 Lapalco Blvd
Ste 200
Harvey, LA 70058
Phone (504) 349-6216

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1891953980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 RED OAK CT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318425",
            "telephone_number": "504-349-6215",
            "fax_number": "504-347-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 LAPALCO BLVD STE 200",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700582302",
            "telephone_number": "504-349-6215",
            "fax_number": "504-347-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "CAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-884-5384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "13319R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555550",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION",
            "identifier": "1639247125",
            "state": "LA"
        }
    ],
    "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 May 27, 2008; 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.