Cynthia A Moldaner, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

122 Dunleith Dr
Destrehan, LA 70047-2025

Phone

(504) 401-3438

NPI assigned

Apr 17, 2021

Last updated

Apr 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618617600000",
    "number": "1942881388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DUNLEITH DR",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472025",
            "telephone_number": "504-401-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DUNLEITH DR",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472025",
            "telephone_number": "504-401-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDANER",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2021-04-17",
        "certification_date": "2021-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Anderson McNamara, NP
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• Courtney Gene Mesman, PHARMD
• Cody Migliore, DPT
• MLS Transit Services LLC
• Mia Monson, PHARMD
• Michael D Morris, M.D.
• Khristi Moses
• Christiane M Mummelthey, PT
• Brooke Elizabeth Naquin, DDS

• Optician in Destrehan, LA
• Providers in Destrehan, LA by specialty
• Optician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.