Organization Active NPI

Paul B Dupont's Optical World, LLC

  • Eyewear Supplier
  • Alexandria, LA
National Provider Identifier
1306078365
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
LA978-263T Issued in LA
Legal business name
PAUL B DUPONT'S OPTICAL WORLD, LLC
Practice address
4020 Jackson Street Ext
Alexandria, LA 71303-2701
Phone
(318) 442-4230
Fax
(318) 442-9537
NPI assigned
Aug 10, 2009
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
Dr. Paul Bradley Dupont, O.D.NPI 1508071507
Title
Owner
Phone
(318) 442-4230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X LA978-263T LA Primary

Addresses

Primary practice location

4020 Jackson Street Ext
Alexandria, LA 71303-2701

Mailing address

4020 Jackson Street Ext
Alexandria, LA 71303-2701
Phone (318) 442-4230

Other identifiers 1

IdentifierTypeStateIssuer
1397997MedicaidLA

National Provider Directory

National Provider Directory

Locations

4020 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-4230

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": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1306078365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032701",
            "telephone_number": "318-442-4230",
            "fax_number": "318-442-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 JACKSON STREET EXT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032701",
            "telephone_number": "318-442-4230",
            "fax_number": "318-442-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B DUPONT'S OPTICAL WORLD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "DUPONT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-442-4230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": "LA978-263T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397997",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.