Individual provider Active NPI

Keeley W Verrett, O.D.

  • Optometrist
  • New Orleans, LA
National Provider Identifier
1922267301
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1267-421T Issued in LA
Practice address
4747 Earhart Blvd
New Orleans, LA 70125-1743
Phone
(504) 782-4855
Fax
(504) 525-0152
NPI assigned
Jun 2, 2008
Last updated
Aug 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4193 FL
Optometrist 152W00000X 1267-421T LA Primary

Addresses

Primary practice location

4747 Earhart Blvd
New Orleans, LA 70125-1743

Mailing address

4747 Earhart Blvd
New Orleans, LA 70125-1743
Phone (504) 782-4855

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OPC 4193FLMDOptometrist
1267-421TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Verrett Vision Associates, LLC Optometrist PastSince Oct 1, 2001 Accepting new patients
Progressive Medical Care of New Orleans Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1922267301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251743",
            "telephone_number": "504-782-4855",
            "fax_number": "504-525-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 EARHART BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251743",
            "telephone_number": "504-782-4855",
            "fax_number": "504-525-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERRETT",
        "first_name": "KEELEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4193",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1267-421T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.