Dr Robert Mouledoux Kelly, OD | |
4225 Lapalco Blvd., Marrero, LA 70072-4338 | |
(504) 371-9355 | |
(480) 503-3943 |
Full Name | Dr Robert Mouledoux Kelly |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 25 Years |
Location | 4225 Lapalco Blvd., Marrero, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811900756 | NPI | - | NPPES |
04426013 | Medicaid | MS | |
2120301 | Medicaid | LA | |
167609 | Other | AZ | EYEMED PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1063-495T (Arizona) | Secondary |
152W00000X | Optometrist | 1276-434T (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ochsner Clinic Foundation | New orleans, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ochsner Clinic Llc | 8224933619 | 2342 |
Provider Name | Ochsner Clinic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Mouledoux Kelly, OD 1514 Jefferson Highway, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Dr Robert Mouledoux Kelly, OD 4225 Lapalco Blvd., Marrero, LA 70072-4338 Ph: (504) 371-9355 |
Kim Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5572 Avery Dr, Marrero, LA 70072 Phone: 504-214-1627 | |
Dorothy K. Anderson, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1670 Barataria Blvd Ste D, Marrero, LA 70072 Phone: 504-348-2993 Fax: 504-340-4468 | |
Tracy Mai, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1670 Barataria Blvd # D, Marrero, LA 70072 Phone: 504-348-2993 | |
Heitmeier Physicians Optical Optometrist Medicare: Medicare Enrolled Practice Location: 1111 Medical Center Blvd, Suite 111, Marrero, LA 70072 Phone: 504-349-6213 | |
Christy Hong Han Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1981 Barataria Blvd Ste C, Marrero, LA 70072 Phone: 504-371-8700 | |
Greater New Orleans Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1670 Barataria Blvd, Suite D, Marrero, LA 70072 Phone: 504-348-2993 Fax: 504-340-4468 | |
Greater New Orleans Eye Care Llc-westbank Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1670 Barataria Blvd,, Suite D, Marrero, LA 70072 Phone: 504-348-2993 |