Individual provider Active NPI

Shamekia Ann Nwafor, O.D.

  • Optometrist
  • Carencro, LA
National Provider Identifier
1063791077
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1620-653T Issued in LA
Practice address
814 Veterans Dr
Carencro, LA 70520-3701
Phone
(337) 896-7575
Fax
(337) 896-9971
NPI assigned
Aug 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1620653T LA
Optometrist 152W00000X 1620-653T LA Primary

Addresses

Primary practice location

814 Veterans Dr
Carencro, LA 70520-3701

Mailing address

1012 Cline Dr
Breaux Bridge, LA 70517-7625
Phone (337) 781-5771

Other identifiers 1

IdentifierTypeStateIssuer
2460633MedicaidLA

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
I20210513002150 LA Practitioner - Optometry 4183033681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

814 Veterans Dr
Carencro, LA 70520-3701
Phone (337) 781-5771

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1620-653TLAMDOptometrist
1620653TLAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Premier Vision Center LLC Optometrist CurrentSince Jul 25, 2025 Accepting new patients
Evelyn B Hanna OD a Professional Optometry Corp Optometrist PastSince May 23, 2011 Accepting new patients

Locations

814 Veterans Dr
Carencro, LA 70520
Phone (337) 781-5771

3505 Ambassador Caffery Pkwy
Lafayette, LA 70503
Phone (337) 984-1448

Interoperability endpoints

  • Direct secure messaging: snwafor@lafayetteeye.intellechartdirect.net

Organizations & group practices 2

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1063791077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CLINE DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705177625",
            "telephone_number": "337-781-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 VETERANS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203701",
            "telephone_number": "337-896-7575",
            "fax_number": "337-896-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAFOR",
        "first_name": "SHAMEKIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "1620653T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1620-653T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460633",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

Verify at the official NPI Registry.