Individual provider Active NPI

Daniel Bonnette

  • Ophthalmology Physician
  • West Monroe, LA
National Provider Identifier
1093235491
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
326408 Issued in LA
Practice address
1804 N 7TH St
West Monroe, LA 71291-4414
Phone
(318) 325-2610
Fax
(318) 325-7715
NPI assigned
Jun 27, 2017
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 326408 LA Primary

Addresses

Primary practice location

1804 N 7TH St
West Monroe, LA 71291-4414

Mailing address

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719000323 LA Practitioner - Ophthalmology 2567733967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery311
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
326408LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Single Specialty CurrentSince May 1, 2022 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Ophthalmology CurrentSince Jul 19, 2021 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Single Specialty CurrentSince Jul 19, 2021 Accepting new patients

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

108 Regency Pl
West Monroe, LA 71291
Phone (318) 325-2610

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Interoperability endpoints

  • Direct secure messaging: bonnette@hhec1211.srs-direct.com

Organizations & group practices 3

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.

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1093235491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNETTE",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "326408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.