Individual provider Active NPI

Sue Ellen Myers, O.D.

  • Optometrist
  • Opelousas, LA
National Provider Identifier
1083601280
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
993-236T Issued in LA
Practice address
4313 I 49 S Service Rd
Opelousas, LA 70570-0755
Phone
(337) 942-2024
Fax
(337) 948-6216
NPI assigned
Oct 3, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 993-236T LA Primary

Addresses

Primary practice location

4313 I 49 S Service Rd
Opelousas, LA 70570-0755

Mailing address

4313 I 49 S Service Rd
Opelousas, LA 70570-0755
Phone (337) 942-2024

Other identifiers 1

IdentifierTypeStateIssuer
1354945MedicaidLA

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
I20040702000260 LA Practitioner - Optometry 5092792523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahaye Center for Advanced Eye Care of Lafayette, Inc.Group PAC ID 6305879826, 5 clinicians
Lahaye Center for Advanced Eye Care, ApmcGroup PAC ID 2264445477, 7 clinicians

Practice addresses (Care Compare)

201 Rue Iberville
Suite 800
Lafayette, LA 70508-8521
Phone (337) 235-2149

4313 I 49 S Service Rd
Opelousas, LA 70570-0755
Phone (337) 942-2024

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
993-236TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lahaye Center for Advanced Eye Care of Lafayette, Inc. Optometrist CurrentSince Jul 1, 2005 Accepting new patients
Lahaye Center for Advanced Eye Care, Apmc Optometrist CurrentSince Jun 26, 2000 Accepting new patients
Louisiana State Optical of Lafayette, Inc. Past Accepting new patients
Lahaye Total Eye Care of Lake Charles, Inc Past Accepting new patients

Locations

201 Rue Iberville
Ste 800
Lafayette, LA 70508
Phone (337) 235-2149

201 Rue Iberville
Lafayette, LA 70508

4313 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 264-1011

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1083601280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700755",
            "telephone_number": "337-942-2024",
            "fax_number": "337-948-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700755",
            "telephone_number": "337-942-2024",
            "fax_number": "337-948-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "993-236T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1354945",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.