Provider Demographics
NPI:1841371341
Name:LAHIRI-MUNIR, DEVJANI (OD)
Entity type:Individual
Prefix:DR
First Name:DEVJANI
Middle Name:
Last Name:LAHIRI-MUNIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 IBERVILLE STREET
Mailing Address - Street 2:
Mailing Address - City:DONALDSONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70346
Mailing Address - Country:US
Mailing Address - Phone:225-473-3124
Mailing Address - Fax:225-473-7006
Practice Address - Street 1:309 IBERVILLE STREET
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346
Practice Address - Country:US
Practice Address - Phone:225-473-3124
Practice Address - Fax:225-473-7006
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS97094840T152W00000X
LA1325459T152WC0802X, 152WL0500X, 152WP0200X, 152WS0006X, 152WX0102X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1114758Medicaid
LA200178433OtherTAX ID NUMBER
LA4264CJ38Medicare ID - Type UnspecifiedMEMBER ID NO.
LA5CJ38Medicare ID - Type UnspecifiedGROUP ID NO.