NPIMap

Organization Active NPI

Lusk Eye Specialists, LLC

  • Ophthalmology Physician
  • Shreveport, LA
National Provider Identifier
1053405357
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
04501R Issued in LA
Legal business name
LUSK EYE SPECIALISTS, LLC
Practice address
451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone
(318) 222-5555
Fax
(318) 222-6414
NPI assigned
Oct 3, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. James E. Lusk, M.D.NPI 1992772941
Title
Owner/Opthalmologist
Phone
(318) 222-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 841-290T LA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1385-425T LA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1407-540T LA
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 04501R LA Primary

Addresses

Primary practice location

451 Ashley Ridge Blvd
Shreveport, LA 71106-7229

Mailing address

451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 222-5555

Other names 1

  • James E. Lusk, MD, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040226000032 LA Part B Supplier - Clinic/Group Practice 6901792985 Receives reassigned benefits from 9 practitioners
Practice locations: Minden, LA; Shreveport, LA
O20110131000395 LA DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 6901792985 Practice locations: Shreveport, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shreveport451 Ashley Ridge Blvd, Shreveport, LA 71106-72293182225555147 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Apr 8, 1994

National Provider Directory

National Provider Directory

Locations

451 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 222-5555

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1053405357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-222-5555",
            "fax_number": "318-222-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-222-5555",
            "fax_number": "318-222-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSK EYE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "LUSK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/OPTHALMOLOGIST",
        "authorized_official_telephone_number": "318-222-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "841-290T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1385-425T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1407-540T",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "04501R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James E. Lusk, MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "James E. Lusk, MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.