NPIMap

Organization Active NPI

J.S. Fontenot

  • Optometrist
  • Ville Platte, LA
National Provider Identifier
1093984387
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
640286T Issued in LA
Legal business name
J.S. FONTENOT
Practice address
111 Calcasieu St
Ville Platte, LA 70586-4401
Phone
(337) 363-6060
Fax
(337) 363-3649
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. J.S. Fontenot, O.D.
Title
Doctor
Phone
(337) 363-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 640286T LA Primary

Addresses

Primary practice location

111 Calcasieu St
Ville Platte, LA 70586-4401

Mailing address

111 Calcasieu St
Ville Platte, LA 70586-4401
Phone (337) 363-6060

Other identifiers 3

IdentifierTypeStateIssuer
21236OtherLABCBS
110944OtherLAEYEMED
1032204MedicaidLA

National Provider Directory

National Provider Directory

Locations

111 Calcasieu St
Ville Platte, LA 70586
Phone (337) 363-6060

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1093984387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CALCASIEU ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864401",
            "telephone_number": "337-363-6060",
            "fax_number": "337-363-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CALCASIEU ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705864401",
            "telephone_number": "337-363-6060",
            "fax_number": "337-363-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.S. FONTENOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "J.S.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "337-363-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "640286T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21236",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "110944",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032204",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.