Central Eye Care Cosmetic Center and Optical, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1560-592T Issued in LA

Legal business name

CENTRAL EYE CARE COSMETIC CENTER AND OPTICAL, LLC

Doing business as

Rogers Regional Eye Center

Practice address

18522 Magnolia Bridge Rd Ste a
Greenwell Springs, LA 70739-4628

Phone

(225) 261-6282

Fax

(225) 261-6012

NPI assigned

Aug 4, 2009

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin A Rogers, O. D.NPI 1760647960

Title

Owner

Phone

(225) 261-6282

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rogers Regional Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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.

• Kevin A Rogers, O.D.

  • Optometrist
  • Greenwell Springs, LA
  • NPI 1760647960
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1336370618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18522 MAGNOLIA BRIDGE RD STE A",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394628",
            "telephone_number": "225-261-6282",
            "fax_number": "225-261-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18522 MAGNOLIA BRIDGE RD STE A",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394628",
            "telephone_number": "225-261-6282",
            "fax_number": "225-261-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL EYE CARE COSMETIC CENTER AND OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-261-6282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1560-592T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1459518",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers Regional Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Domonique Nicole Brown
• Tatiyana R Brown, LPC
• Kaitlyn Campbell
• Lisa Catherine Carroll, MBA, LAT, ATC
• Shantae Cavalier
• Kenneth Chapman I, PHARMACIST
• Choices Family Medical Clinic LLC
• Michael Coleman II
• Community Choices Waiver
• Jasmine Davis

• Optometrist in Greenwell Springs, LA
• Providers in Greenwell Springs, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.