Individual provider Active NPI

Joseph E. Roy, O.D.

  • Optometrist
  • Deridder, LA
National Provider Identifier
1356364046
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
782-068T Issued in LA
Practice address
123 N Washington St
Deridder, LA 70634-4057
Phone
(337) 463-2020
Fax
(337) 463-7108
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 782-068T LA Primary

Addresses

Primary practice location

123 N Washington St
Deridder, LA 70634-4057

Mailing address

123 N Washington St
Deridder, LA 70634-4057
Phone (337) 463-2020

Other identifiers 1

IdentifierTypeStateIssuer
1159361MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110202000204 LA Practitioner - Optometry 9335256288 Reassigns benefits to 1 organization
Practice locations: Deridder, LA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1008 S 6TH St
Leesville, LA 71446-4920
Phone (337) 392-1994

Merit-based Incentive Payment System (MIPS)

Final score
87.92 of 100Reported as group
Quality
78.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
782LAMDAddiction (Substance Use Disorder) Counselor
782-068TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Eye and Laser Center, LLC CurrentSince Nov 1, 2017 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

231 Windermere Blvd
Alexandria, LA 71303
Phone (318) 445-7770

108 6th Ave
Kinder, LA 70648
Phone (337) 738-2527

1008 S 6th St
Leesville, LA 71446
Phone (337) 392-1994

108 Medic Ave
Marksville, LA 71351
Phone (318) 253-9766

Interoperability endpoints

  • Direct secure messaging: jroy@laeye.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1356364046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N WASHINGTON ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344057",
            "telephone_number": "337-463-2020",
            "fax_number": "337-463-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N WASHINGTON ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344057",
            "telephone_number": "337-463-2020",
            "fax_number": "337-463-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JOSEPH",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "782-068T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159361",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.