Organization Active NPI

Lafayette Premier Vision Center LLC

  • Optometrist
  • Carencro, LA
National Provider Identifier
1285522417
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAFAYETTE PREMIER VISION CENTER LLC
Practice address
814 Veterans Dr
Carencro, LA 70520-3701
Phone
(337) 896-7575
Fax
(337) 896-9971
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Shamekia Ann NwaforNPI 1063791077
Title
OD/Owner
Phone
(337) 781-5771

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

814 Veterans Dr
Carencro, LA 70520-3701

Mailing address

1012 Cline Dr
Breaux Bridge, LA 70517-7625

Other identifiers 1

IdentifierTypeStateIssuer
3079949MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250818003416 LA Part B Supplier - Clinic/Group Practice 0143729061 Receives reassigned benefits from 1 practitioner
Practice locations: Carencro, LA

National Provider Directory

National Provider Directory

Locations

814 Veterans Dr
Carencro, LA 70520
Phone (337) 781-5771

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1285522417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 CLINE DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705177625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 VETERANS DR",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705203701",
            "telephone_number": "337-896-7575",
            "fax_number": "337-896-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFAYETTE PREMIER VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "SHAMEKIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "337-781-5771"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079949",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.