CUSTOM OPTICAL N.O (NPI# 1811446636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811446636 |
| Entity Type | Organization |
| Organization Name | CUSTOM OPTICAL N.O |
| Practice Address |
2416 Benefit St. New Orleans LA 70122-4709 |
| Practice Telephone | 5044088771 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Authorized Official Name | DERRICK DEVRON PERIQUE (OWNER) |
| Authorized Official Telephone | 5044088771 |
| Authorized Official Credential | CAREER DIPOLMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | LA | Suppliers |
| Street Address |
2416 BENEFIT ST. |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70122-4709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1396375945 | Kathleen Barre | Case Manager/Care Coordinator | 6500 Elysian Fields Ave, New Orleans, LA 70122 | 2020-01-23 |
| 1104393065 | A1 Nemt LLC | Non-emergency Medical Transport (VAN) | 6235 St.anthony, New Orleans, LA 70122 | 2018-10-30 |
| 1134600562 | Brent Hithe | Non-emergency Medical Transport (VAN) | 5720 St.roch Ave, New Orleans, LA 70122 | 2018-08-23 |
| 1184138034 | Dumas Family Dental | Dentist | 3004 Gentilly Blvd, New Orleans, LA 70122 | 2017-11-29 |
| 1881110906 | Santana Harper | Psychologist | 5523 Wildair Dr., Apt A, New Orleans, LA 70122 | 2017-08-21 |
| 1497279137 | Katherine Ryan Johnson | Nurse Practitioner | 1532 Robert E. Lee Blvd, New Orleans, LA 70122 | 2017-08-02 |
| 1548701162 | Chevelle O'conner | Case Manager/Care Coordinator | 2325 Mithra St, New Orleans, LA 70122 | 2017-03-15 |
| 1881132637 | Roxanna Martin | Case Manager/Care Coordinator | 5418 Eads St, New Orleans, LA 70122 | 2017-02-01 |
| 1124563622 | Undra Johnson | Counselor | 5145 Arts St, New Orleans, LA 70122 | 2016-12-20 |
| Find all providers in zip 70122 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639696818 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3964 Magazine St, New Orleans, LA 70115-2664 | 2017-08-28 |
| 1073839577 | Omni Eye Care Center of New Orleans | Eyewear Supplier (Equipment, not the service) | 4480 General Degaulle, Suite 104, New Orleans, LA 70131 | 2010-04-09 |
| 1396991105 | Ernest A Wilbur | Eyewear Supplier (Equipment, not the service) | 701 Poydras St, Suite 117, New Orleans, LA 70139-6001 | 2008-08-12 |
| 1316143571 | The Eyes Have It Inc. | Eyewear Supplier (Equipment, not the service) | 4480 Gen Degaulle Dr, 109, New Orleans, LA 70131 | 2007-06-25 |
| 1477183952 | Invision Optical, LLC | Eyewear Supplier (Equipment, not the service) | 5941 Bullard Ave, New Orleans, LA 70128-2818 | 2020-01-23 |
| 1205220472 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3900 Dublin St, New Orleans, LA 70118-4754 | 2015-03-25 |
| 1528490166 | Ochsner Optics | Eyewear Supplier (Equipment, not the service) | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2013-08-06 |
| 1487095782 | Ochsner Clinic LLC | Eyewear Supplier (Equipment, not the service) | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2013-07-15 |
| 1538451281 | Unique Family Optical | Eyewear Supplier (Equipment, not the service) | 4480 General Degaulle Dr, Suite 112, New Orleans, LA 70131-6941 | 2011-05-12 |
| 1811220775 | Vision Center of The South, Inc. | Eyewear Supplier (Equipment, not the service) | 4200 Canal St, Suite D, New Orleans, LA 70119-5984 | 2009-09-10 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70122 |
Please comment or provide details below to improve the information on CUSTOM OPTICAL N.O.
| 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.