DR. THOMAS R FAIRLEY (NPI# 1023046158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023046158 |
| Entity Type | Individual |
| Full Name | DR. THOMAS R FAIRLEY |
| Credential | O.D. |
| Practice Address |
9001 Summa Ave Baton Rouge LA 70809-3726 |
| Practice Telephone | 2257615200 |
| Practice Fax Number | 2257615618 |
| Mailing Telephone | 2257615200 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1220-389T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1693308 | 05 |
| Street Address |
9001 SUMMA AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888997 | Douglas K Mendoza | Internal Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-01 |
| 1134696941 | Grace Elisabeth Mansfield | Nutritionist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-10-30 |
| 1437644739 | Blakeney Mcknight | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-28 |
| 1801380217 | Tiffany Ann Beauchamp | Specialist/Technologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-19 |
| 1265925515 | Aimee Elizabeth Lestage | Speech-Language Pathologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-12 |
| 1053800599 | Tyesha Taylor | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-05-09 |
| 1124479357 | Mary Hufft | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-06-29 |
| 1144689399 | Rachelle Sanders | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-16 |
| 1932568250 | Gina Heagy Braud | Dietitian, Registered | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-15 |
| 1366816837 | Kelly Chambers Mendoza | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2015-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170031 | Mitresh Optometry LLC | Optometrist | 7673 Perkins Rd Ste B-3, Baton Rouge, LA 70810-1007 | 2018-10-16 |
| 1053890822 | Focal Point Eye Care | Optometrist | 16645 Highland Rd Ste F, Baton Rouge, LA 70810-6567 | 2018-08-12 |
| 1922459395 | Erica Durlacher | Optometrist | 10197 Cal Rd, Baton Rouge, LA 70809 | 2016-06-28 |
| 1346674942 | Megan Alysse Johnson | Optometrist | 9757 Perkins Rd, Suite B, Baton Rouge, LA 70810-1522 | 2013-08-30 |
| 1215369236 | Kevin Minh Duong | Optometrist | 10000 Dawnadele Ave, Building A, Baton Rouge, LA 70809-2591 | 2013-07-31 |
| 1609218890 | Brett J Carlin | Optometrist | 6401 Bluebonnet Blvd # 2192, Baton Rouge, LA 70836-6401 | 2013-07-29 |
| 1518287788 | Williamson Eye Center | Optometrist | 3403 Perkins Road, Suite 3, Baton Rouge, LA 70808 | 2010-06-10 |
| 1184942401 | Achord Eye Clinic LLC | Optometrist | 12726 Perkins Road, Baton Rouge, LA 70810-1910 | 2010-05-11 |
| 1720249162 | Wendy A. Waguespack, O.d., Inc. | Optometrist | 7932 Picardy Ave Ste A, Baton Rouge, LA 70809-3741 | 2008-06-18 |
| 1215120191 | Sabine Optical Laboratories Inc | Optometrist | 7515 Florida Avenue, Baton Rouge, LA 70806 | 2007-08-23 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.