Active NPI
Alan Fertel, O.D.
- Optometrist
- Harahan, LA
National Provider Identifier
1902940919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1009-225T
- Practice address
- 5171 Citrus Blvd
Suite 2040
Harahan, LA 70123-2342 - Phone
- (504) 818-0669
- Fax
- (504) 818-2108
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1009-225T | LA | Primary |
Addresses
Primary practice location
5171 Citrus Blvd
Suite 2040
Harahan, LA 70123-2342
Mailing address
4209 Courtland Dr
Metairie, LA 70002-3111
Phone (504) 456-9238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1009-225T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Harahan, LA
- NPI 1861423030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902940919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 COURTLAND DR",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023111",
"telephone_number": "504-456-9238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 CITRUS BLVD",
"address_2": "SUITE 2040",
"city": "HARAHAN",
"state": "LA",
"postal_code": "701232342",
"telephone_number": "504-818-0669",
"fax_number": "504-818-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERTEL",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1009-225T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harahan, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.