MICHAEL N KLEAMENAKIS (NPI# 1780907782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780907782 |
| Entity Type | Organization |
| Organization Name | MICHAEL N KLEAMENAKIS |
| Other Organization Name | GENTILLY VISION SOURCE |
| Practice Address |
4114 Marigny St New Orleans LA 70122-4931 |
| Practice Telephone | 5042882333 |
| Practice Fax Number | 5042882227 |
| Mailing Telephone | 5042882333 |
| Mailing Fax Number | 5042882227 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | MICHAEL KLEAMENAKIS (OWNER) |
| Authorized Official Telephone | 5042882333 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1030-060T | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1370142 | 05 |
| Other Name | Type Code |
|---|---|
| Gentilly Vision Source | Doing Business As Name - Organization |
| Street Address |
4114 MARIGNY ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70122-4931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083739387 | Brock Joachim Songy | Optometrist | 4114 Marigny St, New Orleans, LA 70122-4931 | 2007-03-19 |
| 1215440482 | Michael Petros Bilalis | Optometrist | 4114 Marigny St, New Orleans, LA 70122-4931 | 2017-11-09 |
| 1427298306 | Solomon Heiman | Optometrist | 4114 Marigny St, New Orleans, LA 70122-4931 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881020 | Grey Matter Concepts,inc. | Counselor | 5514 Music St., New Orleans, LA 70122 | 2020-08-11 |
| 1396375945 | Kathleen Barre | Case Manager/Care Coordinator | 6500 Elysian Fields Ave, New Orleans, LA 70122 | 2020-01-23 |
| 1104393065 | A1 Nemt LLC | Non-emergency Medical Transport (VAN) | 6235 St.anthony, New Orleans, LA 70122 | 2018-10-30 |
| 1134600562 | Brent Hithe | Non-emergency Medical Transport (VAN) | 5720 St.roch Ave, New Orleans, LA 70122 | 2018-08-23 |
| 1184138034 | Dumas Family Dental | Dentist | 3004 Gentilly Blvd, New Orleans, LA 70122 | 2017-11-29 |
| 1881110906 | Santana Harper | Psychologist | 5523 Wildair Dr., Apt A, New Orleans, LA 70122 | 2017-08-21 |
| 1497279137 | Katherine Ryan Johnson | Nurse Practitioner | 1532 Robert E. Lee Blvd, New Orleans, LA 70122 | 2017-08-02 |
| 1548701162 | Chevelle O'conner | Case Manager/Care Coordinator | 2325 Mithra St, New Orleans, LA 70122 | 2017-03-15 |
| 1881132637 | Roxanna Martin | Case Manager/Care Coordinator | 5418 Eads St, New Orleans, LA 70122 | 2017-02-01 |
| 1124563622 | Undra Johnson | Counselor | 5145 Arts St, New Orleans, LA 70122 | 2016-12-20 |
| Find all providers in zip 70122 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1699115600 | St. Thomas Community Health Center, Inc | Clinic/Center | 3943 St. Bernard Avenue, New Orleans, LA 70122 | 2013-07-05 |
| 1407369820 | Nightwater Clinic, LLC | Clinic/Center | 2701 General Degaulle Dr, New Orleans, LA 70114-6222 | 2017-11-07 |
| 1467776088 | Orleans Cardiovascular Associates, LLC | Clinic/Center | 2820 Canal St, New Orleans, LA 70119-6302 | 2010-03-25 |
| 1487896122 | Wetsman Forensic Medicine LLC | Clinic/Center | 3600 Prytania St, Suite 72, New Orleans, LA 70115-3628 | 2009-03-26 |
| 1275638272 | Van Meter Md & Associates | Clinic/Center | 1532 Tulane Ave, Medical Center of Louisiana, New Orleans, LA 70112 | 2006-09-14 |
| 1477582526 | Louisiana State University School of Medicine In New Orleans Faculty G | Clinic/Center | 1542 Tulane Ave, Suite 123-hcn, New Orleans, LA 70112-2865 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050005 | Ochsner-acadia, LLC | Clinic/Center | 502 Rue De Sante Ste 203, La Place, LA 70068-5424 | 2020-10-15 |
| 1487291944 | Sc Rehab | Clinic/Center | 1810 Florida Ave Sw Ste A, Denham Springs, LA 70726-4930 | 2019-12-04 |
| 1063071918 | Medical Pioneers, LLC | Clinic/Center | 100 Mariners Blvd Ste 1b, Mandeville, LA 70448-6815 | 2019-06-12 |
| 1356906911 | Allied Medicine Inc | Clinic/Center | 620 Bayou Tortue, Rd Suite 1, Broussard, LA 70518 | 2019-05-08 |
| 1356808430 | Cenikor Foundation | Clinic/Center | 2414 Bunker Hill Dr Ste 100, Baton Rouge, LA 70808-3303 | 2019-02-26 |
| 1063983799 | Accessible Walk-in Clinic | Clinic/Center | 1206 J W Davis Dr Ste 102, Hammond, LA 70403-5953 | 2018-12-06 |
| 1235616194 | Pathways Addiction Recovery, LLC | Clinic/Center | 3801 Houma Blvd Ste 100, Metairie, LA 70006-4185 | 2018-07-24 |
| 1063915866 | Gulf Coast Medical Center | Clinic/Center | 51 Holmes Blvd Ste A, Terrytown, LA 70056-2592 | 2018-03-18 |
| 1437660115 | Edge Medical Services Inc. | Clinic/Center | 2100 E 70th St, Shreveport, LA 71105-5363 | 2017-10-20 |
| 1912436213 | Third Hand Assisting Inc | Clinic/Center | Po Box 141, Talisheek, LA 70464-0141 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70122 |
Please comment or provide details below to improve the information on MICHAEL N KLEAMENAKIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.