1801154729 NPI number — MRS. ANASTASIA A BARTHELEMY BROWN AAS, BBS

Table of content: MRS. ANASTASIA A BARTHELEMY BROWN AAS, BBS (NPI 1801154729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801154729 NPI number — MRS. ANASTASIA A BARTHELEMY BROWN AAS, BBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARTHELEMY BROWN
Provider First Name:
ANASTASIA
Provider Middle Name:
A
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
AAS, BBS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801154729
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1901 MANHATTAN BLVD BLDG D
Provider Second Line Business Mailing Address:
SUITE 121
Provider Business Mailing Address City Name:
HARVEY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-372-6326
Provider Business Mailing Address Fax Number:
504-336-3160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1901 MANHATTAN BLVD BLDG D
Provider Second Line Business Practice Location Address:
SUITE 121
Provider Business Practice Location Address City Name:
HARVEY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-372-6326
Provider Business Practice Location Address Fax Number:
504-336-3160
Provider Enumeration Date:
04/28/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , with the licence number:  LDO002099 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: MEXXXXXXX , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: LA17XXX , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 156FC0800X , with the licence number: 151353 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 156FC0801X , with the licence number: LDO002099 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 156FX1101X , with the licence number: 151353 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 156FX1202X , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 156FX1202X , with the licence number: 151353 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 246RP1900X , with the licence number: D8A3EXXX , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: 1XX-XXXXXX , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: LA17XXX . This is a "OPTOMETRIST" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: D8A3E8XX . This is a "CPT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: LDO002099 . This is a "PROFESSIONAL LICENSURE STATE BOARD" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: ABOC#151353 . This is a "AMERICAN BOARD OF OPTICIANRY" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: NCLEC 151353 . This is a "NATIONAL CONTACT LENS EXAMINERS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 151353 . This is a "NATIONAL CONTACT LENS EXAMINERS" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 200GXXXXXXXX , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: LA5186 . This is a "BLS HEALTHCARE PROVIDER" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 0618002560 . This is a "OPTOMETRY SURROGATE PROVIDER" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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