Gentilly Vision Source

LBN: Michael N Kleamenakis
Gentilly Vision Source is an health care organization with primary practice located at 4114 Marigny St , New Orleans LA 70122-4931. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Michael N Kleamenakis can be contacted via phone (504) 288-2333, or through Kleamenakis, Michael via phone (504) 288-2333.

Contact Information

Primary practice address
4114 Marigny St New Orleans LA 70122-4931
Phone: (504) 288-2333
Fax: (504) 288-2227
Website:
Map and Directions
Authorized official contact:
Name: Kleamenakis, Michael Doctor of Optometry (OD)
Phone: (504) 288-2333

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 1030-060T Louisiana

Profile Details

NPI number 1780907782
LBN Legal business name Michael N Kleamenakis
DBA Doing business as Gentilly Vision Source
Authorized official Kleamenakis, Michael Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2010
Last updated Dec 12th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780907782 NPPES
Louisiana MEDICAID 1370142

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