Organization Active NPI

Charles S Adams OD Apc

  • Optometrist
  • Bossier City, LA
National Provider Identifier
1124203542
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHARLES S ADAMS OD APC
Doing business as
Adams Eyecare
Practice address
1911 Benton Rd
Suite C
Bossier City, LA 71111-3500
Phone
(318) 742-4012
Fax
(318) 742-1692
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Charles S Adams, ODNPI 1043240906
Title
Owner
Phone
(318) 742-4012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1911 Benton Rd
Suite C
Bossier City, LA 71111-3500

Mailing address

1911 Benton Rd
Suite C
Bossier City, LA 71111-3500
Phone (318) 742-4012

Other names 1

  • Adams Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000770 LA Part B Supplier - Clinic/Group Practice 4183830375 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA

National Provider Directory

National Provider Directory

Locations

1911 Benton Rd
Ste C
Bossier City, LA 71111
Phone (318) 742-4012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1124203542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 BENTON RD",
            "address_2": "SUITE C",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113500",
            "telephone_number": "318-742-4012",
            "fax_number": "318-742-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 BENTON RD",
            "address_2": "SUITE C",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113500",
            "telephone_number": "318-742-4012",
            "fax_number": "318-742-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S ADAMS OD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-742-4012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.