Childrens Vision Center

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

Legal business name

CHILDRENS VISION CENTER

Practice address

302 Ridgefield Rd
Thibodaux, LA 70301-2724

Phone

(985) 447-2396

NPI assigned

Aug 3, 2019

Last updated

Aug 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Mitchell, ODNPI 1912908658

Title

Owner

Phone

(985) 447-2396

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David Mitchell, O.D.

  • Optometrist
  • Thibodaux, LA
  • NPI 1912908658

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564790400000",
    "number": "1912552308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RIDGEFIELD RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RIDGEFIELD RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012724",
            "telephone_number": "985-447-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-447-2396",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Chiasson, PT
• Morgan Chiasson
• Shane M Chiasson
• Zachary Burr Chiasson, BA (PSYCHOLOGY)
• Child's Play Pediatric Therapy, LLC (The Center for Pediatric Therapy)
• Naomi M Chouest, APRN, FNP-C
• Jade Cisneros, PLPC
• Annemarie B Clancy, MA CCCSLP
• Raven Clark, BA
• Dedric J Clarke, MD

• Pediatric Optometrist in Thibodaux, LA
• Providers in Thibodaux, LA by specialty
• Pediatric Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.