Jason Wonch, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1361-495T Issued in LA

Practice address

150 Northshore Blvd
2060
Slidell, LA 70460-6809

Phone

(985) 641-7722

Fax

(985) 641-7894

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jason Wonch, O.D. and Associates, a.P.C.

  • Optometrist
  • Lake Charles, LA
  • NPI 1295769008
  Medicare reassignment
• Jason Wonch, O.D. and Associates, a P.C.

  • Eyewear Supplier
  • Denham Springs, LA
  • NPI 1447700240
  NPD (past) Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225190440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "STE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NORTHSHORE BLVD",
            "address_2": "2060",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704606809",
            "telephone_number": "985-641-7722",
            "fax_number": "985-641-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONCH",
        "first_name": "JASON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1361-495T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Winters
• Alyssa Celeste Wischmeyer, PT
• James Edward Witchen, RPH, MSPH
• Alexis Wolcott, LCSW
• Gary Joel Wolf, M.D.
• Wonder Working Power Health Care
• Wonder Working Power Health Care
• Wonder Working Power Health Care
• Lisa Wood, MCD, CCC-SLP
• Mickie Davina Woodall, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.