Provider Demographics
NPI:1801154729
Name:BARTHELEMY BROWN, ANASTASIA A (AAS, BBS)
Entity type:Individual
Prefix:MRS
First Name:ANASTASIA
Middle Name:A
Last Name:BARTHELEMY BROWN
Suffix:
Gender:F
Credentials:AAS, BBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Country:US
Practice Address - Phone:504-372-6326
Practice Address - Fax:504-336-3160
Is Sole Proprietor?:No
Enumeration Date:2012-04-28
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALDO002099156FX1800X, 156FC0801X
LAMEXXXXXXX207W00000X
LALA17XXX152W00000X
LA151353156FC0800X, 156FX1101X, 156FX1202X
LA156FX1202X
LAD8A3EXXX246RP1900X
390200000X
LA1XX-XXXXXX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic Assistant
No156FX1202XEye and Vision Services ProvidersTechnician/TechnologistOptometric Technician
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
LALA17XXXOtherOPTOMETRIST
LAD8A3E8XXOtherCPT
GALDO002099OtherPROFESSIONAL LICENSURE STATE BOARD
LAABOC#151353OtherAMERICAN BOARD OF OPTICIANRY
LANCLEC 151353OtherNATIONAL CONTACT LENS EXAMINERS
LA151353OtherNATIONAL CONTACT LENS EXAMINERS
GA200GXXXXXXXXMedicaid
LALA5186OtherBLS HEALTHCARE PROVIDER
VA0618002560OtherOPTOMETRY SURROGATE PROVIDER