Healthcare Provider Details

I. General information

NPI: 1013310895
Provider Name (Legal Business Name): BARTHELEMY'S OPTICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2014
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 MANHATTAN BLVD BLDG D SUITE 121
HARVEY LA
70058-2531
US

IV. Provider business mailing address

1901 MANHATTAN BLVD BLDG D SUITE 121
HARVEY LA
70058
US

V. Phone/Fax

Practice location:
  • Phone: 504-372-6326
  • Fax: 504-336-3160
Mailing address:
  • Phone: 504-372-6326
  • Fax: 504-336-3160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FC0800X
TaxonomyContact Lens Technician/Technologist
License Number151353
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number151353
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code156FX1202X
TaxonomyOptometric Technician
License NumberLDO002099
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberLDO002099
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANASTASIA A BARTHELEMY BROWN
Title or Position: OPHTHALMOLOGY PRACTICE MANAGER
Credential:
Phone: 504-372-6326