NPIMap

Organization Active NPI

W E Marionneaux Jr OD LLC

  • Optometrist
  • Winnsboro, LA
National Provider Identifier
1205028057
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
712 014 T Issued in LA
Legal business name
W E MARIONNEAUX JR OD LLC
Practice address
6609 Main St
Winnsboro, LA 71295-2763
Phone
(318) 435-5145
Fax
(318) 435-9476
NPI assigned
Aug 15, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mr. Willard E Marionneaux Jr., ODNPI 1407917891
Title
Optometrist Owner
Phone
(318) 435-5145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 712 014 T LA Primary

Addresses

Primary practice location

6609 Main St
Winnsboro, LA 71295-2763

Mailing address

PO Box 910
Winnsboro, LA 71295-0910
Phone (318) 435-5145

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1205028057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712950910",
            "telephone_number": "318-435-5145",
            "fax_number": "318-435-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 MAIN ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952763",
            "telephone_number": "318-435-5145",
            "fax_number": "318-435-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W E MARIONNEAUX JR OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "MARIONNEAUX",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "318-435-5145",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "712 014 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.