R & J Lewis LLC

Primary specialty

Mastectomy FitterTaxonomy code 224900000X

Legal business name

R & J LEWIS LLC

Practice address

340 N Highway 171 Ste F
Lake Charles, LA 70611-5345

Phone

(972) 982-7066

Fax

(972) 982-7066

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Julie A Lewis, CFMNPI 1770207474

Title

Owner/Certified Fitter

Phone

(972) 982-7066

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wonderfully Made Mastectomy Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

R J Lewis LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• R & J Lewis LLC

  • Durable Medical Equipment & Medical Supplies
  • Lake Charles, LA
  • NPI 1285336032
  NPD tax ID

Locations

Practitioners 1

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

• Julie Ann Lewis, CFM

  • Mastectomy Fitter
  • Lake Charles, LA
  • NPI 1770207474
  NPD Authorized official

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1154033322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 TEXAS EASTERN RD",
            "city": "RAGLEY",
            "state": "LA",
            "postal_code": "706577005",
            "telephone_number": "337-842-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N HIGHWAY 171 STE F",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115345",
            "telephone_number": "972-982-7066",
            "fax_number": "972-982-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & J LEWIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CERTIFIED FITTER",
        "authorized_official_telephone_number": "972-982-7066",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "224900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770207474",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://pm.officeally.com/emr/Desktop/Summary.aspx?Tab=D",
            "affiliation": "N",
            "endpointDescription": "EHR website",
            "address_1": "340 N Highway 171 Ste F",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706115345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wonderfully Made Mastectomy Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mastectomy Fitter in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mastectomy Fitter in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.