Active NPI
Elvis Surles, OD
- Optometrist
- Monroe, LA
National Provider Identifier
1265409510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 717127T
- Practice address
- 2209 Forsythe Ave
Monroe, LA 71201 - Phone
- (318) 387-5657
- Fax
- (318) 325-8472
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 717127T | LA | Primary |
Addresses
Primary practice location
2209 Forsythe Ave
Monroe, LA 71201
Mailing address
2209 Forsythe Ave
Monroe, LA 71201
Phone (318) 387-5657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49455 | Other | PIN # | |
| 1946192 | Medicaid | LA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110308000418 | LA | Practitioner - Optometry | 2163603002 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 717127T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moss Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
2209 Forsythe Ave
Monroe, LA 71201
Phone (318) 387-5657
3300 Sterlington Rd
Monroe, LA 71203
Phone (318) 387-5657
Organizations & group practices 1
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.
-
- Optometrist
- Monroe, LA
- NPI 1700147931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265409510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 FORSYTHE AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-387-5657",
"fax_number": "318-325-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 FORSYTHE AVE",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-387-5657",
"fax_number": "318-325-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURLES",
"first_name": "ELVIS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "717127T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN #",
"identifier": "49455",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1946192",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.