Individual provider Active NPI

Laura A Teasley, MD

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1154312635
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A89517 Issued in CA
Practice address
1360 E Herndon Ave Ste 301
Fresno, CA 93720-3326
Phone
(559) 486-5000
Fax
(559) 439-6804
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60440043 WA
Ophthalmology Physician 207W00000X A89517 CA Primary

Addresses

Primary practice location

1360 E Herndon Ave Ste 301
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Ave Ste 301
Fresno, CA 93720-3326
Phone (559) 486-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000136 CA Practitioner - Ophthalmology 3678545456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Clinic of Fresno IncGroup PAC ID 1355381740, 15 clinicians
Fogg Remington Eyecare IncGroup PAC ID 7911993902, 18 clinicians

Practice addresses (Care Compare)

1122 S St
Suite 101
Fresno, CA 93721-1430
Phone 55948650002822

1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326
Phone (559) 449-5010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
79.8
Promoting interoperability
80
Improvement activities
40
Cost
87.82

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
87.98
Promoting interoperability
99
Improvement activities
40
Cost
62.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89517CAMDOphthalmology Physician
MD60440043WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Clinic of Fresno, Inc. Ophthalmology Current Accepting new patients
Fogg Remington Eyecare Inc Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Fogg Remington Eyecare Inc Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Eye Medical Clinic of Fresno, Inc Ophthalmology CurrentSince Jul 9, 2018 Accepting new patients
South Suburban Ear, Nose & Throat Assoc Inc Past Accepting new patients
Fogg Remington Eyecare, Inc. Past Accepting new patients
Sall Eye Research Medical Center Ophthalmology PastSince Jan 1, 2005 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology Past Accepting new patients

Locations

1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010

1122 S St
Ste 101
Fresno, CA 93721
Phone (559) 486-5000

1360 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 449-5060

1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010

1648 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 432-2111

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: laura.teasley.p4@direct.californiaeye.nextgenshare.com
  • Direct secure messaging: laura.teasleymd.p1@direct.californiaeye.nextgenshare.com
  • Direct secure messaging: laura.teasley.p1@direct.eyeqvc.nextgenshare.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1154312635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-486-5000",
            "fax_number": "559-439-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-486-5000",
            "fax_number": "559-439-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEASLEY",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60440043",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A89517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.