Eye Fairy, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE FAIRY, LLC

Practice address

800 Metairie Rd Ste Q
Metairie, LA 70005-4066

Phone

(504) 301-1726

NPI assigned

May 31, 2021

Last updated

May 31, 2021By 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

Lauren Griffin, ODNPI 1629621586

Title

Owner

Phone

(804) 787-3626

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Lauren Griffin, OD

  • Optometrist
  • Metairie, LA
  • NPI 1629621586
  NPD Authorized official
• Lauren Agnew, OD

  • Optometrist
  • Mandeville, LA
  • NPI 1598311193
  NPD
• Leah Elizabeth Heitmeier, O.D.

  • Optometrist
  • Gretna, LA
  • NPI 1902456296
  NPD (past)

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1912573072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 METAIRIE RD STE Q",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 METAIRIE RD STE Q",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054066",
            "telephone_number": "504-301-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE FAIRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-787-3626",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509896",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Metairie, LA
• Providers in Metairie, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.