Provider Demographics
NPI:1013310895
Name:BARTHELEMY'S OPTICAL, LLC
Entity Type:Organization
Organization Name:BARTHELEMY'S OPTICAL, LLC
Other - Org Name:DR. AKINTOMIDE APARA, OPHTHALMOLOGIST
Other - Org Type:Other Name
Authorized Official - Title/Position:OPHTHALMOLOGY PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARTHELEMY BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-372-6326
Mailing Address - Street 1:1901 MANHATTAN BLVD BLDG D
Mailing Address - Street 2:SUITE 121
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058
Mailing Address - Country:US
Mailing Address - Phone:504-372-6326
Mailing Address - Fax:504-336-3160
Practice Address - Street 1:1901 MANHATTAN BLVD BLDG D
Practice Address - Street 2:SUITE 121
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2531
Practice Address - Country:US
Practice Address - Phone:504-372-6326
Practice Address - Fax:504-336-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA151353156FC0800X
MS151353156FX1100X
GALDO002099156FX1202X, 156FX1800X
207WX0107X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact LensGroup - Single Specialty
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmicGroup - Single Specialty
No156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric TechnicianGroup - Single Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAU18688Medicaid
LALA5335OtherHEALTHCARE PROVIDER
LA2615805858BMedicaid
LAD8A3E8F5OtherCPT
GA02099OtherLDO
GAGA884OtherOPTOMETRIST
MS151353OtherABOC
LA151353OtherNCLEC
LAXX1856-79ATOtherOPTOMETRIST