JEROME THADDEUS MEDLEY M.D.
NPI 1396879086
Optometrist in Gretna, LA

Active since March 15, 2007
120 MEADOWCREST ST, SUITE 330, GRETNA, LA 70056(504) 391-7560(504) 394-2269 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerome Thaddeus Medley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME THADDEUS MEDLEY M.D. (NPI 1396879086) is an individual optometrist in Gretna, Louisiana, licensed in Louisiana (3145R) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1396879086
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEROME THADDEUS MEDLEYCredential: M.D.
Location Address120 MEADOWCREST ST, SUITE 330Gretna, LA 70056-5255
Mailing Address4710 Owens BlvdNew Orleans, LA 70122-1227 · (504) 283-0701
Fax(504) 394-2269
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1396879086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in LA · 3145R
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

120 MEADOWCREST ST, Gretna, LA 70056

Other Identifiers 3

Medicare ID-Type Unspecified53791LA
Medicare UPINB64856LA
Medicaid1121335LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
120 MEADOWCREST ST, SUITE 300
GRETNA, LA 70056
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Dermatology (Procedural Dermatology)
120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056
Obstetrics & Gynecology
120 MEADOWCREST ST, SUITE 350
GRETNA, LA 70056
Psychiatry & Neurology (Neurology)
120 MEADOWCREST ST, STE 420
GRETNA, LA 70056
Otolaryngology
120 MEADOWCREST ST, SUITE 200
GRETNA, LA 70056
Internal Medicine
120 MEADOWCREST ST, SUITE 380
GRETNA, LA 70056

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Medley's NPI number?

The NPI number for Jerome Medley is 1396879086. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Jerome Medley located?

Jerome Medley practices at 120 Meadowcrest St Suite 330, Gretna, LA 70056. The listed phone number is (504) 391-7560.

What is Jerome Medley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jerome Medley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.