Active NPI
Charles A Nassauer, O.D.
- Optometrist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 919183T
- Practice address
- 170 Northshore Blvd Ste C
Slidell, LA 70460-6849 - Phone
- (985) 641-1228
- Fax
- (985) 643-1359
- NPI assigned
- Feb 16, 2007
- Last updated
- Jul 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 919183T | LA | Primary |
Addresses
Primary practice location
170 Northshore Blvd Ste C
Slidell, LA 70460-6849
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1380873 | Medicaid | LA | |
| MN4126858 | Other | LA | HUMANA ID |
| 721158167 | Other | LA | TAX PAY ID |
| LA99183 | Other | LA | VBA ID |
| LA9183 | Other | LA | EYE MED ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1844 N Causeway Blvd
Mandeville, LA 70471-3112
Phone (985) 327-2230
601 Georgia Ave
Bogalusa, LA 70427-3909
Phone (985) 732-4900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 919 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
| Can, Inc. | Optometrist | Current | Accepting new patients |
| Can, Inc. | Optometrist | Past | Accepting new patients |
| Audubon Eye Institute | Past | Accepting new patients |
Locations
601 Georgia Ave
Bogalusa, LA 70427
Phone (985) 249-7833
13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484
1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 327-2230
3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025
170 Northshore Blvd
Ste C
Slidell, LA 70460
Phone (985) 641-1228
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- cnassauer026631@myeyedr.emadirect.md
Organizations & group practices 6
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.
-
dba MyEyeDr.
- Optometrist
- Jefferson, LA
- NPI 1912416355
-
- Optometrist
- Bogalusa, LA
- NPI 1912128455
-
- Optometrist
- Mandeville, LA
- NPI 1326557752
-
dba MyEyeDr.
- Optometrist
- Slidell, LA
- NPI 1780317917
-
- Specialist
- Covington, LA
- NPI 1922135243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1275677783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 NORTHSHORE BLVD STE C",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704606849",
"telephone_number": "985-641-1228",
"fax_number": "985-643-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSAUER",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "919183T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1380873",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA ID",
"identifier": "MN4126858",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX PAY ID",
"identifier": "721158167",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA ID",
"identifier": "LA99183",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED ID",
"identifier": "LA9183",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.