NPIMap

Organization Active NPI

Lauren Agnew LLC

Doing business as Eye Wares

  • Optometrist
  • Mandeville, LA
National Provider Identifier
1922674084
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAUREN AGNEW LLC
Doing business as
Eye Wares
Practice address
3601 Highway 190 Ste B
Mandeville, LA 70471-8632
Phone
(985) 624-3314
Fax
(985) 624-3601
NPI assigned
May 31, 2021
Last updated
May 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Authorized official

Name
Dr. Lauren Agnew, ODNPI 1598311193
Title
Owner
Phone
(985) 624-3314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3601 Highway 190 Ste B
Mandeville, LA 70471-8632

Mailing address

3601 Highway 190 Ste B
Mandeville, LA 70471-8632
Phone (985) 624-3314

Other practice location 1

800 Metairie Rd Ste Q
Metairie, LA 70005-4066
Phone (504) 301-1726

Other identifiers 1

IdentifierTypeStateIssuer
2521918MedicaidLA

Other names 1

  • Eye Wares Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118002464 LA Part B Supplier - Clinic/Group Practice 7618366329 Receives reassigned benefits from 6 practitioners
Practice locations: New Orleans, LA; Mandeville, LA; Metairie, LA

National Provider Directory

National Provider Directory

Locations

3601 Highway 190
Ste B
Mandeville, LA 70471
Phone (985) 624-3314

800 Metairie Rd
Ste Q
Metairie, LA 70005
Phone (504) 301-1726

6001 Magazine St
Ste C
New Orleans, LA 70118
Phone (504) 571-5623

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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": "1922674084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HIGHWAY 190 STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704718632",
            "telephone_number": "985-624-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HIGHWAY 190 STE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704718632",
            "telephone_number": "985-624-3314",
            "fax_number": "985-624-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Metairie Rd Ste Q",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700054066",
            "country_code": "US",
            "telephone_number": "504-301-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAUREN AGNEW 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": "AGNEW",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-624-3314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521918",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Wares",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • 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.
  • 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.