Joseph V Sica Sr a Professional Optometric Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

631-088T Issued in LA

Legal business name

JOSEPH V SICA SR A PROFESSIONAL OPTOMETRIC CORP

Practice address

312 S Jefferson Ave
Covington, LA 70433-3169

Phone

(985) 892-2722

Fax

(985) 892-3418

NPI assigned

Apr 29, 2010

Last updated

Jan 12, 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

Dr. Joseph Vincent Sica, O.D.

Title

Optometrist

Phone

(985) 892-2722

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1942527940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S JEFFERSON AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333169",
            "telephone_number": "985-892-2722",
            "fax_number": "985-892-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S JEFFERSON AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333169",
            "telephone_number": "985-892-2722",
            "fax_number": "985-892-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH V SICA SR A PROFESSIONAL OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "SICA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "985-892-2722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "631-088T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1040631",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Jones, BA
• Janet Jones
• Mark Gregory Jones, M.D.
• Elizabeth Faye Jordan
• Kelli Lynn Jordan, PHARMD
• Shirley Joseph-Davisam, GSW
• Gerald Feitel Joseph Jr., MD
• Susan L Josephson, LCSW
• Robin Joubert, LCSW
• Journey Hospice of Covington, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.