Fyeo, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1353-487T Issued in LA

Legal business name

FYEO, LLC

Doing business as

For Your Eyes Only 20/20

Practice address

4220 A Magazine St
New Orleans, LA 70115

Phone

(504) 896-7661

Fax

(504) 896-7656

NPI assigned

Feb 12, 2007

Last updated

Oct 6, 2011By 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

Ms. Daphne L Richardson II, ODNPI 1730103623

Title

Optometrist

Phone

(504) 896-7661

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• For Your Eyes Only 20/20 Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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.

• Daphne L Richardson, OD

  • Optometrist
  • New Orleans, LA
  • NPI 1730103623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1922140623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 A MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-896-7661",
            "fax_number": "504-896-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 A MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-896-7661",
            "fax_number": "504-896-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYEO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "504-896-7661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1353487T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1353-487T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1374-509T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1145157",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102265",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "For Your Eyes Only 20/20",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.