Individual provider Active NPI

Eva M. Lamendola, OD

  • Optometrist
  • Gonzales, LA
National Provider Identifier
1144309923
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1410-546T Issued in LA
Practice address
1004 W Highway 30
Suite a
Gonzales, LA 70737-5001
Phone
(225) 644-4444
NPI assigned
Nov 3, 2006
Last updated
Mar 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1410-546T LA Primary

Addresses

Primary practice location

1004 W Highway 30
Suite a
Gonzales, LA 70737-5001

Mailing address

1004 W Highway 30
Suite a
Gonzales, LA 70737-5001
Phone (225) 644-4444

Other identifiers 1

IdentifierTypeStateIssuer
1007786MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070212000208 LA Practitioner - Optometry 3375545973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accent Optical IncGroup PAC ID 7719183441, 4 clinicians

Practice addresses (Care Compare)

1004 W Hwy 30
Gonzales, LA 70737-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1410-546TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Vision, L.L.C. CurrentSince Dec 1, 2007 Accepting new patients
Accent Optical, Inc. CurrentSince Nov 7, 2007 Accepting new patients
Jason Wonch, O.D. and Associates, a.P.C. Optometrist Past Accepting new patients

Locations

10423 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 923-0139

1004 W Highway 30
Gonzales, LA 70737
Phone (225) 647-4430

1004 W Highway 30
Ste 100
Gonzales, LA 70737
Phone (225) 644-4444

1004 W Highway 30
Ste A
Gonzales, LA 70737
Phone (225) 644-4444

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1144309923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W HIGHWAY 30",
            "address_2": "SUITE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375001",
            "telephone_number": "225-644-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W HIGHWAY 30",
            "address_2": "SUITE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375001",
            "telephone_number": "225-644-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMENDOLA",
        "first_name": "EVA",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1410-546T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007786",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.