Pamela Elaine Theriot, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1805-739 Issued in LA

Practice address

451 Ashley Ridge Blvd
Shreveport, LA 71106-7229

Phone

(318) 222-5555

Fax

(318) 222-6414

NPI assigned

Sep 20, 2006

Last updated

Jul 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Dr. Pamela Elaine Carlson Former name

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

Specialty

Optometry

Education

University of California - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lusk Eye Specialists, LLCGroup PAC ID 6901792985, 7 clinicians

Azar Instruments Inc.Group PAC ID 2466416540, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lusk Eye Specialists, LLC

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1053405357

  Optometrist

  Medicare reassignment Care Compare group NPD
• Azar Instruments Inc.

  dba Azar Eye Clinic

  • Ophthalmic Technician/Technologist
  • Lafayette, LA
  • NPI 1497878573
  Medicare reassignment Care Compare group
• Bryan Vekovius M.D. LLC

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1700085727
  Medicare reassignment NPD
• City of Vision Eyecare, P.C.

  • Optometrist
  • Rio Rancho, NM
  • NPI 1811072333
  NPD (past)
• City of Vision Optometry, PC

  • Optometrist
  • Rio Rancho, NM
  • NPI 1770136269
  NPD (past)
• Desert Eye Associates LTD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1013652692

  Optometrist

  NPD (past)
• Desert Eye Associates LTD

  • Ophthalmology Physician
  • Green Valley, AZ
  • NPI 1982689667
  NPD (past)
• Eye Centers of North Texas, PLLC

  dba Eye Centers of North Texas

  • Retina Specialist (Ophthalmology) Physician
  • Mount Pleasant, TX
  • NPI 1982250262
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)
• Vision Now, LLC

  dba Vision NOW

  • Naturopath
  • Tucson, AZ
  • NPI 1275689614
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1194823336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-222-5555",
            "fax_number": "318-222-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-222-5555",
            "fax_number": "318-222-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "PAMELA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12195T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1805-739",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "551",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1592",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6697T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CARLSON",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camille Theisen, RN
• Blaine Michael Theodos
• Therapeutic Kneads, LLC
• Theres No Place Like Home Care
• Austin Michael Theriot, RPSS
• Sindhu Thevuthasan
• Daphne Thibeaux
• Meredith Wade Thibodeaux, P.A.-C
• Richard Seth Thibodeaux
• Christopher David Thiels, PHARM.D.

• Optometrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.