Healthcare Provider Details

I. General information

NPI: 1760332894
Provider Name (Legal Business Name): ONEOPTO LA 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 HOLIDAY DR STE 201
NEW ORLEANS LA
70114-8250
US

IV. Provider business mailing address

3501 HOLIDAY DR STE 201
NEW ORLEANS LA
70114-8250
US

V. Phone/Fax

Practice location:
  • Phone: 504-368-7081
  • Fax: 504-368-7033
Mailing address:
  • Phone: 504-368-7081
  • Fax: 504-368-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DANYETTA THOMAS
Title or Position: PRESIDENT
Credential:
Phone: 504-368-7081