NPIMap

Organization Active NPI

McComiskey & Vallelungo, L.L.C.

  • Ophthalmology Physician
  • Covington, LA
National Provider Identifier
1972592293
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MCCOMISKEY & VALLELUNGO, L.L.C.
Practice address
604 W 13TH Ave
Covington, LA 70433-3308
Phone
(985) 871-0070
Fax
(985) 871-0046
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Jennifer S VallelungoNPI 1538483557
Title
Owner
Phone
(985) 871-0070

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

604 W 13TH Ave
Covington, LA 70433-3308

Mailing address

604 W 13TH Ave
Covington, LA 70433-3308
Phone (985) 871-0070

Other identifiers 2

IdentifierTypeStateIssuer
1449393MedicaidLA
DE7701OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060526000127 LA Part B Supplier - Clinic/Group Practice 0446261705 Receives reassigned benefits from 3 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

4407 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 234-9700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1972592293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W 13TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333308",
            "telephone_number": "985-871-0070",
            "fax_number": "985-871-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 13TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333308",
            "telephone_number": "985-871-0070",
            "fax_number": "985-871-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMISKEY & VALLELUNGO, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "VALLELUNGO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-871-0070"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449393",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.