Eyes on Canal LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1797-731AT Issued in LA

Legal business name

EYES ON CANAL LLC

Doing business as

Eyes on Canal

Practice address

4205 Canal St Ste B
New Orleans, LA 70119-5942

Phone

(504) 237-7042

NPI assigned

Feb 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Monique Jackson, O.D.NPI 1891178281

Title

Optometrist

Phone

(504) 237-7042

Specialties & licenses 1

Addresses

Other names 1

• Eyes on Canal Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Monique Jackson, O.D.

  • Optometrist
  • New Orleans, LA
  • NPI 1891178281
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1982064630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 HIGHWAY 457",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713029274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CANAL ST STE B",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195942",
            "telephone_number": "504-237-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON CANAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "504-237-7042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1797-731AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes on Canal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.