NPIMap

Organization Active NPI

Welch Eye Center

  • Ophthalmology Physician
  • Alexandria, LA
National Provider Identifier
1215978309
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
012846 Issued in LA
Legal business name
WELCH EYE CENTER
Practice address
4300 Parliament Dr
Alexandria, LA 71303-2721
Phone
(318) 448-0221
Fax
(318) 448-9731
NPI assigned
Jun 9, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Robert Bruce Wallace I, MDNPI 1598792293
Title
Medical Director
Phone
(318) 448-0221

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
Ophthalmology Physician 207W00000X 012846 LA Primary

Addresses

Primary practice location

4300 Parliament Dr
Alexandria, LA 71303-2721

Mailing address

4300 Parliament Dr
Alexandria, LA 71303-2721
Phone (318) 448-0221

Other identifiers 1

IdentifierTypeStateIssuer
1798711MedicaidLA

National Provider Directory

National Provider Directory

Locations

4300 Parliament Dr
Alexandria, LA 71303
Phone (318) 448-0221

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1215978309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PARLIAMENT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032721",
            "telephone_number": "318-448-0221",
            "fax_number": "318-448-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PARLIAMENT DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032721",
            "telephone_number": "318-448-0221",
            "fax_number": "318-448-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELCH EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-448-0221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "012846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1798711",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.