Individual provider Active NPI

Christine D. Norred, O.D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1013949833
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1224-376T Issued in LA
Practice address
550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone
(225) 924-2020
Fax
(225) 925-0225
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1224-376T LA Primary
Corneal and Contact Management Optometrist 152WC0802X 1224-376T LA

Addresses

Primary practice location

550 Connells Park LN
Baton Rouge, LA 70806-6539

Mailing address

550 Connells Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

Other identifiers 1

IdentifierTypeStateIssuer
1684732MedicaidLA

Other names 1

  • Christine Norred Aguila Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000202 LA Practitioner - Optometry 4284633751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williamson Eye CenterGroup PAC ID 9335131192, 19 clinicians

Practice addresses (Care Compare)

2290 S Range Ave
Denham Springs, LA 70726-5214
Phone (225) 665-2019

550 Connell Park LN
Baton Rouge, LA 70806-6539
Phone (225) 924-2020

550 Connells Park Lane
Baton Rouge, LA 70806-6539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1224-376TLAMDOptometrist

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Optometrist Current Accepting new patients
Williamson Eye Center Optometrist CurrentSince Apr 20, 2009 Accepting new patients
Williamson Eye Center Optometrist CurrentSince Apr 20, 2009 Accepting new patients
Roger F Shaw III a Professional Optometry Corporation Optometrist PastSince Aug 30, 2016 Accepting new patients
Jonathan M. Levy, DPM, PC Past Accepting new patients
Williamson Eye Center Optometrist Past Accepting new patients
Bluebonnet Vision Optometrist Past Accepting new patients

Locations

550 Connell Park Ln
Baton Rouge, LA 70806
Phone (225) 924-2020

550 Connell Park Ln
Ste A
Baton Rouge, LA 70806

18135 E Petroleum Dr
Ste E
Baton Rouge, LA 70809
Phone (225) 752-0393

9001 Summa Ave
Ste 245
Baton Rouge, LA 70809
Phone (225) 490-5299

2290 S Range Ave
Denham Springs, LA 70726
Phone (225) 665-2019

2308 S Burnside Ave
Gonzales, LA 70737
Phone (225) 644-7525

230 Roberts Dr
Ste J
New Roads, LA 70760
Phone (225) 618-0088

5233 Main St
Ste A
Zachary, LA 70791
Phone (225) 654-0090

Networks

  • LA PPO C-SNP
  • TX HMO

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1013949833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-925-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066539",
            "telephone_number": "225-924-2020",
            "fax_number": "225-925-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRED",
        "first_name": "CHRISTINE",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1224-376T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "LA",
            "license": "1224-376T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "AGUILA",
            "middle_name": "NORRED",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.