Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1XX-XXXXXX | LA |
N | 152W00000X | Optometrist | LA17XXX | LA |
N | 156FC0800X | Contact Lens | 151353 | LA |
N | 156FC0801X | Contact Lens Fitter | LDO002099 | GA |
N | 156FX1101X | Ophthalmic Assistant | 151353 | LA |
N | 156FX1202X | Optometric Technician | LA | |
N | 156FX1202X | Optometric Technician | 151353 | LA |
N | 156FX1800X | Optician | LDO002099 | GA |
N | 207W00000X | Ophthalmologist | MEXXXXXXX | LA |
NPI | 1801154729 |
---|---|
Provider Name | Mrs. Anastasia A Barthelemy Brown |
First Address | Harvey, LA 70058 |
Second Address | Harvey, LA 70058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2012 |
Last Update Date | 22/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0618002560 | OPTOMETRY SURROGATE PROVIDER (01) | VA |
151353 | NATIONAL CONTACT LENS EXAMINERS (01) | LA |
200GXXXXXXXX | (05) | GA |
202G188597 | (02) | GA |
ABOC#151353 | AMERICAN BOARD OF OPTICIANRY (01) | LA |
D8A3E8XX | CPT (01) | LA |
LA17XXX | OPTOMETRIST (01) | LA |
LA5186 | BLS HEALTHCARE PROVIDER (01) | LA |
LDO002099 | PROFESSIONAL LICENSURE STATE BOARD (01) | GA |
NCLEC 151353 | NATIONAL CONTACT LENS EXAMINERS (01) | LA |