Cenla Vision Source, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CENLA VISION SOURCE, LLC

Doing business as

Cenla Vision Source

Practice address

5615B Jackson St
Alexandria, LA 71303-2275

Phone

(318) 442-7787

Fax

(318) 443-1654

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alayna Jordan Brown, ODNPI 1972213197

Title

Owner/Provider

Phone

(318) 442-7787

Specialties & licenses 1

Addresses

Other names 1

• Cenla Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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.

• Alayna Jordan Brown, OD

  • Optometrist
  • Alexandria, LA
  • NPI 1972213197
  Medicare reassignment NPD Authorized official
• David Bradley Anders, OD

  • Optometrist
  • Ruston, LA
  • NPI 1023545910
  NPD
• Lacy B Shaw, O.D.

  • Optometrist
  • Alexandria, LA
  • NPI 1265528665
  NPD
• Benjamin Hieu Vu, O.D.

  • Optometrist
  • Pearland, TX
  • NPI 1588261309
  NPD
• Khanh Nghi Trinh, O.D.

  • Optometrist
  • Baton Rouge, LA
  • NPI 1811201916
  NPD (past)

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1295558351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615B JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032275",
            "telephone_number": "318-442-7787",
            "fax_number": "318-443-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615B JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032275",
            "telephone_number": "318-442-7787",
            "fax_number": "318-443-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENLA VISION SOURCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALAYNA",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "318-442-7787",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cenla Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.