Organization Active NPI

Elahi Eye Care, Inc.

  • Primary Care Clinic/Center
  • West Monroe, LA
National Provider Identifier
1336444744
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELAHI EYE CARE, INC.
Practice address
303 McMillan Rd
West Monroe, LA 71291-8316
Phone
(318) 387-7257
Fax
(318) 325-7034
NPI assigned
Jan 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Mercy Elahi-Neal, O.D.NPI 1306859848
Title
President
Phone
(318) 680-1916

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

303 McMillan Rd
West Monroe, LA 71291-8316

Mailing address

303 McMillan Road, Suite a
Suite a
West Monroe, LA 71291-8163
Phone (318) 387-7257

Other identifiers 1

IdentifierTypeStateIssuer
2434888MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000330 LA Part B Supplier - Clinic/Group Practice 0244276939 Receives reassigned benefits from 1 practitioner
Practice locations: West Monroe, LA

National Provider Directory

National Provider Directory

Locations

1010 S Vienna St
Ruston, LA 71270
Phone (318) 255-0817

303 McMillan Rd
Ste A
West Monroe, LA 71291

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1336444744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MCMILLAN ROAD, SUITE A",
            "address_2": "SUITE A",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918163",
            "telephone_number": "318-387-7257",
            "fax_number": "318-325-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918316",
            "telephone_number": "318-387-7257",
            "fax_number": "318-325-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAHI EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "ELAHI-NEAL",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-680-1916",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2434888",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2017; 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.