NPIMap

Organization Active NPI

Joseph E Humble and Raymond Haik, PTRS

Doing business as Eye Associates of Northeast Louisiana

  • Eyewear Supplier
  • West Monroe, LA
National Provider Identifier
1104957703
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS
Doing business as
Eye Associates of Northeast Louisiana
Practice address
1804 N 7TH St
West Monroe, LA 71291-4414
Phone
(318) 325-2610
Fax
(318) 325-7715
NPI assigned
Mar 8, 2007
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Mrs. Annalisa M Ahee
Title
Insurance Supervisor
Phone
(318) 325-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 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

Other identifiers 1

IdentifierTypeStateIssuer
0407850001OtherLADME SUPPLIER #

Other names 1

  • Eye Associates of Northeast Louisiana Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073041 LA DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 8224092176 Practice locations: West Monroe, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Associates of Northeast Louisan1804 N 7TH St, West Monroe, LA 71291-4414(318) 325-2610 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 9, 1985

National Provider Directory

National Provider Directory
Tax ID family
Eye Associates of NE la3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1104957703",
    "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": {
        "organization_name": "JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "AHEE",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "318-325-2610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER #",
            "identifier": "0407850001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Northeast Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.