Organization Active NPI

Lake Area Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Lake Charles, LA
National Provider Identifier
1275719551
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
07-00010164 Issued in LA
Legal business name
LAKE AREA PROSTHETICS & ORTHOTICS
Practice address
505 W College St
Lake Charles, LA 70605-1529
Phone
(337) 474-2989
Fax
(337) 474-2996
NPI assigned
Jan 16, 2008
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Ronnie Wayne Bias, C.P.O.NPI 1881600708
Title
Orthotist/Prosthetist
Phone
(337) 474-2989

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
Prosthetic/Orthotic Supplier 335E00000X 07-00010164 LA Primary

Addresses

Primary practice location

505 W College St
Lake Charles, LA 70605-1529

Mailing address

PO Box 4571
Lake Charles, LA 70606-4571
Phone (337) 474-2989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930044138 LA DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic Personnel 1254534407 Practice locations: Lake Charles, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lake Area Prosthetics & Orthotics505 W College St, Lake Charles, LA 70605-1529(337) 474-2989 Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jul 29, 2006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1275719551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4571",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064571",
            "telephone_number": "337-474-2989",
            "fax_number": "337-474-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W COLLEGE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051529",
            "telephone_number": "337-474-2989",
            "fax_number": "337-474-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "BIAS",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ORTHOTIST/PROSTHETIST",
        "authorized_official_telephone_number": "337-474-2989",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "07-00010164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.