NPIMap

Organization Active NPI

Joseph E Humble and Raymond Haik, PTRS

  • Eyewear Supplier
  • Rayville, LA
National Provider Identifier
1154976157
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS
Practice address
138 Christian Dr
Rayville, LA 71269-3645
Phone
(318) 728-2020
Fax
(318) 728-5284
NPI assigned
Aug 6, 2019
Organization subpart
Yes
Parent organization
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Joseph Elgin HumbleNPI 1538130273
Title
Owner
Phone
(318) 325-2610

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

138 Christian Dr
Rayville, LA 71269-3645

Mailing address

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

Other identifiers 1

IdentifierTypeStateIssuer
0407850001OtherLADME SUPPLIER #

Other names 1

  • Eye Associates of Northeast Louisiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191223001271 LA DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 8224092176 Practice locations: Rayville, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Associates of NE Louisiana138 Christian Dr, Rayville, LA 71269-3645(318) 728-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 9, 1985

National Provider Directory

National Provider Directory
Tax ID family
Eye Associates of NE la3 organizations share this tax ID, including this one
Part of
Eye Associates of NE la

Other organizations with this tax ID 2

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

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

Practitioners & affiliated clinicians

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1154976157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CHRISTIAN DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693645",
            "telephone_number": "318-728-2020",
            "fax_number": "318-728-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "HUMBLE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ELGIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-325-2610"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER #",
            "identifier": "0407850001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Northeast Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rayville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.