NPIMap

Organization Active NPI

Eye Laser & Surgery Center, LLC

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1295744415
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
022311 Issued in LA
Legal business name
EYE LASER & SURGERY CENTER, LLC
Practice address
8777 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2818
Phone
(225) 767-5525
Fax
(225) 767-5339
NPI assigned
Aug 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Allen Meadows, MDNPI 1538178751
Title
Owner
Phone
(225) 767-5525

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 022311 LA Primary

Addresses

Primary practice location

8777 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2818

Mailing address

8777 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2818
Phone (225) 767-5525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061027000218 LA Part B Supplier - Clinic/Group Practice 5890792204 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA; Plaquemine, LA

National Provider Directory

National Provider Directory

Locations

8777 Bluebonnet Blvd
Ste B
Baton Rouge, LA 70810
Phone (225) 767-5525

Practitioners & affiliated clinicians

Practitioners 3

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295744415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 BLUEBONNET BLVD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102818",
            "telephone_number": "225-767-5525",
            "fax_number": "225-767-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 BLUEBONNET BLVD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102818",
            "telephone_number": "225-767-5525",
            "fax_number": "225-767-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE LASER & SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-767-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "022311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.