Organization Active NPI

Mitresh Optometry LLC

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1982170031
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MITRESH OPTOMETRY LLC
Practice address
7673 Perkins Rd Ste B-3
Baton Rouge, LA 70810-1007
Phone
(225) 757-0505
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. Reshma Amin, ODNPI 1144455726
Title
Manager
Phone
(225) 324-8611

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7673 Perkins Rd Ste B-3
Baton Rouge, LA 70810-1007

Mailing address

3203 Lexington Lakes Ave
Baton Rouge, LA 70810-0415
Phone (225) 324-8611

Other names 1

  • TRIO Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190220001097 LA Part B Supplier - Clinic/Group Practice 4981942794 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2218159Mitresh Optometry LLC7673 Perkins Road, Suite B3, Baton Rouge, LA 70810Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

7673 Perkins Rd
Ste B3
Baton Rouge, LA 70810
Phone (225) 757-0505

Practitioners & affiliated clinicians

Practitioners 1

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1982170031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 LEXINGTON LAKES AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100415",
            "telephone_number": "225-324-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7673 PERKINS RD STE B-3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101007",
            "telephone_number": "225-757-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRESH OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "RESHMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-324-8611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIO Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.