Edward G Gilcrease

Primary specialty

OptometristTaxonomy code 152W00000X

License

1398-528T Issued in LA

Practice address

1010 S Vienna St
Ruston, LA 71270-5832

Phone

(318) 255-9433

Fax

(318) 255-2425

NPI assigned

Feb 21, 2007

Last updated

Jun 27, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Dr. Edward G Gilcrease O.D., LLC

  • Optometrist
  • West Monroe, LA
  • NPI 1154747780
  Authorized official Same address or phone
• Optical West Inc

  dba Dillingham Optical West Inc

  • Clinic/Center
  • West Monroe, LA
  • NPI 1992854111

  Optometrist

  NPD (past)
• The Visual Difference LLC

  • Vision Therapy Optometrist
  • Ruston, LA
  • NPI 1891879821
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1063557551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914334",
            "telephone_number": "318-330-9070",
            "fax_number": "318-387-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S VIENNA ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705832",
            "telephone_number": "318-255-9433",
            "fax_number": "318-255-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCREASE",
        "first_name": "EDWARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1398-528T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475815",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Pate Garmon, SLP
• Robert Railey Garrett, FNP
• Mallory Garza, PH.D.
• Genesis Recovery Center, LLC
• Sharon Gibbs, M.A.
• Joe William Gilmore, DDS
• John Gingles
• Glenn Figueroa MD Apmc
• Phyllis Goins
• Sharon Goldsmith

• Optometrist in Ruston, LA
• Providers in Ruston, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.