Individual provider Active NPI

Dea Bekteshi, OD

  • Optometrist
  • Shreveport, LA
National Provider Identifier
1316614365
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1949-885AT Issued in LA
Practice address
471 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone
(318) 795-4770
Fax
(318) 795-4775
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1949-885AT LA Primary

Addresses

Primary practice location

471 Ashley Ridge Blvd
Shreveport, LA 71106-7229

Mailing address

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105-5634

Other practice location 1

1400 E Bert Kouns Industrial Loop Ste 103
Shreveport, LA 71105-5648
Phone (318) 222-8402

Other names 1

  • Dea Orana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129000286 LA Practitioner - Optometry 7810387206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians

Practice addresses (Care Compare)

471 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 795-4770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1949-885ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Clinic, a Prof Med Corp CurrentSince Jan 1, 2025 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Jan 1, 2025 Accepting new patients

Locations

1400 E Bert Kouns Industrial Loop
Ste 103
Shreveport, LA 71105
Phone (318) 222-8402

471 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 795-4770

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

Interoperability endpoints

  • Direct secure messaging: dea.bekteshi.p1@direct.hcapmc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1316614365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-795-4770",
            "fax_number": "318-795-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Bert Kouns Industrial Loop Ste 103",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055648",
            "country_code": "US",
            "telephone_number": "318-222-8402",
            "fax_number": "318-222-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKTESHI",
        "first_name": "DEA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1949-885AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEA",
            "last_name": "ORANA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.