NPIMap

Organization Active NPI

Eye Associates LLC

Doing business as Eye Surgery Center Of Louisiana

  • Ophthalmology Physician
  • Metairie, LA
National Provider Identifier
1124071717
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES LLC
Doing business as
Eye Surgery Center Of Louisiana
Practice address
3530 Houma Blvd
Suite 203
Metairie, LA 70006
Phone
(504) 887-7660
Fax
(504) 887-7816
NPI assigned
May 18, 2006
Last updated
Jun 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Mr. William David Willis
Title
Administrator
Phone
(504) 455-1816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3530 Houma Blvd
Suite 203
Metairie, LA 70006

Mailing address

3530 Houma Blvd
Ste 203
Metairie, LA 70006-4202
Phone (504) 887-7660

Other names 1

  • Eye Surgery Center Of Louisiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050928000006 LA Part B Supplier - Clinic/Group Practice 0648205740 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Slidell, LA; Metairie, LA; Gretna, LA; Bogalusa, LA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

409 Avenue F
Ste 203
Bogalusa, LA 70427

120 Ochsner Blvd
Ste 210
Gretna, LA 70056
Phone (504) 391-7545

Interoperability endpoints

  • Direct secure messaging: ashi@eyesurgla.intellechartdirect.net
  • Direct secure messaging: bgermer@eyesurgla.intellechartdirect.net
  • Direct secure messaging: bkeaton@eyesurgla.intellechartdirect.net
  • Direct secure messaging: jdavid@eyesurgla.intellechartdirect.net
  • Direct secure messaging: jfrisbee@eyesurgla.intellechartdirect.net
  • Direct secure messaging: mhautot@eyesurgla.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1124071717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD",
            "address_2": "STE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064202",
            "telephone_number": "504-887-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 HOUMA BLVD",
            "address_2": "SUITE 203",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-887-7660",
            "fax_number": "504-887-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-455-1816",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center Of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Surgery Center Of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.