Michael N Kleamenakis
Clinic/Center, Multi-Specialty in New Orleans, LA. Organization (NPI-2).
Details
- NPI
- 1780907782
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael N Kleamenakis
- Organization subpart
- No
- Enumeration date
- Mar 4, 2010
- Last updated
- Dec 12, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | 1030-060T | LA | Yes |
Other names
- Gentilly Vision Source (Doing Business As)
Practice location
4114 Marigny StNew Orleans, LA 70122-4931
Phone 504-288-2333 · Fax 504-288-2227
Mailing address
4114 Marigny StNew Orleans, LA 70122-4931
Phone 504-288-2333 · Fax 504-288-2227
Authorized official
Michael Kleamenakis
Owner
5042882333
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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