NPIMap

Organization Active NPI

Joseph E Humble and Raymond Haik, PTRS

Doing business as Eye Associates of Northeast Louisiana

  • Ophthalmology Physician
  • West Monroe, LA
National Provider Identifier
1336178482
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS
Doing business as
Eye Associates of Northeast Louisiana
Practice address
1804 N 7TH St
West Monroe, LA 71291-4414
Phone
(318) 325-2610
Fax
(318) 325-7715
NPI assigned
Jul 1, 2006
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Dr. Raymond E Haik Jr., M.D.NPI 1962473652
Title
Owner
Phone
(318) 325-2610

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 Physician 207W00000X Primary

Addresses

Primary practice location

1804 N 7TH St
West Monroe, LA 71291-4414

Mailing address

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

Other identifiers 1

IdentifierTypeStateIssuer
1798100MedicaidLA

Other names 1

  • Eye Associates of Northeast Louisiana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119000184 LA Part B Supplier - Clinic/Group Practice 8224092176 Receives reassigned benefits from 40 practitioners
Practice locations: Monroe, LA; Rayville, LA; Ruston, LA; West Monroe, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

2314 Common Ct
Ste 23
Ruston, LA 71270
Phone (318) 232-6552

108 Regency Pl
West Monroe, LA 71291
Phone (318) 325-2610

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1336178482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E HUMBLE AND RAYMOND HAIK, PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "HAIK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-325-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1798100",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Northeast Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.