NPIMap

Organization Active NPI

Dr. Edward G Gilcrease O.D., LLC

  • Optometrist
  • West Monroe, LA
National Provider Identifier
1154747780
Registry record updated Apr 24, 2014
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1398528T Issued in LA
Legal business name
DR. EDWARD G GILCREASE O.D., LLC
Practice address
1110 N 7TH St
West Monroe, LA 71291-4334
Phone
(318) 330-9070
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Dr. Edward Gilcrease, O.D.
Title
Doctor/Owner
Phone
(318) 330-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1398528T LA Primary

Addresses

Primary practice location

1110 N 7TH St
West Monroe, LA 71291-4334

Mailing address

101 Country Estates Dr
West Monroe, LA 71291-9078

Other identifiers 1

IdentifierTypeStateIssuer
1475815MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1154747780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COUNTRY ESTATES DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914334",
            "telephone_number": "318-330-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. EDWARD G GILCREASE O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "GILCREASE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "318-330-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1398528T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475815",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.