Active NPI
Jonathan Perkins, MD
- Retina Specialist (Ophthalmology) Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 308544
- Practice address
- 2800 1St Ave Ste C
Lake Charles, LA 70601 - Phone
- (337) 310-0762
- NPI assigned
- May 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Q8772 | TX | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 308544 | LA | Primary |
Addresses
Primary practice location
2800 1St Ave Ste C
Lake Charles, LA 70601
Mailing address
2800 1St Ave Ste C
Lake Charles, LA 70601-8884
Phone (337) 310-0762
Other practice location 1
2727 Gramercy St
Suite 200
Houston, TX 77025-1716
Phone (713) 799-9975
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in New Orleans, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 478-3810
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.86 of 100
- Quality
- 91.1
- Improvement activities
- 40
- Cost
- 78.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308544 | LA | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic a Professional Medical Corp. | Ophthalmology | Current | Accepting new patients |
Locations
801 S Pine St
Deridder, LA 70634
Phone (337) 462-0908
1322 Elton Rd
Ste J
Jennings, LA 70546
Phone (337) 824-0040
2800 1st Ave
Ste C
Lake Charles, LA 70601
Phone (337) 439-1737
1767 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 478-3810
277 N Highway 171
Ste 4
Lake Charles, LA 70611
Phone (337) 310-0775
2800 1st Ave
Ste A
Lake Charles, LA 70601
Phone (337) 310-0767
720 Cypress St
Sulphur, LA 70663
Phone (337) 625-8948
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Lake Charles, LA
- NPI 1619915121
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
-
- Home Health Agency
- Jennings, LA
- NPI 1891787123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1336409051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 1ST AVE STE C",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018884",
"telephone_number": "337-310-0762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 1ST AVE STE C",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-310-0762"
}
],
"practiceLocations": [
{
"address_1": "2727 Gramercy St",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770251716",
"country_code": "US",
"telephone_number": "713-799-9975",
"fax_number": "713-799-1095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKINS",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-29",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "Q8772",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "LA",
"license": "308544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.