Individual provider Active NPI

Jonathan Perkins, MD

  • Retina Specialist (Ophthalmology) Physician
  • Lake Charles, LA
National Provider Identifier
1336409051
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
308544 Issued in LA
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

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619001026 LA Practitioner - Ophthalmology 4082917091 Reassigns benefits to 1 organization

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
Eye Clinic a Professional Medical CorpGroup PAC ID 0941101307, 13 clinicians

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 100Reported as group
Quality
91.1
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
308544LAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic a Professional Medical Corp. Ophthalmology CurrentSince Aug 1, 2018 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.