Active NPI
Paul B Dupont's Optical World, LLC
- Eyewear Supplier
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- LA978-263T
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1397997 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Alexandria, LA
- NPI 1508071507
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.