Organization Active NPI

Kidd and Associcates LLC

  • Optometrist
  • Franklin, LA
National Provider Identifier
1366575615
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
753-087T Issued in LA
Legal business name
KIDD AND ASSOCICATES LLC
Doing business as
DBA/Kidd Vision Center
KIDD VISION CENTER
Practice address
1500 Northwest Blvd
Franklin, LA 70538-3442
Phone
(337) 828-3651
Fax
(337) 828-0586
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Krissa Chauvin
Title
Office Manager/Biller
Phone
(337) 828-3651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 753-087T LA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X

Addresses

Primary practice location

1500 Northwest Blvd
Franklin, LA 70538-3442

Mailing address

1500 Northwest Blvd
Franklin, LA 70538
Phone (337) 828-3651

Other identifiers 5

IdentifierTypeStateIssuer
1170534MedicaidLA
T19440OtherLAUPIN
439064365BOtherLACOMEAUX BC FKLN
19040283MedicaidLA
434689892BOtherLAIII BLUE CROSS FKLN

Other names 2

  • DBA/Kidd Vision Center Doing business as
  • KIDD VISION CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071119000421 LA Part B Supplier - Clinic/Group Practice 5395833784 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, LA

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1366575615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NORTHWEST BLVD",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "70538",
            "telephone_number": "337-828-3651",
            "fax_number": "337-828-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NORTHWEST BLVD",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383442",
            "telephone_number": "337-828-3651",
            "fax_number": "337-828-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDD AND ASSOCICATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "KRISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLER",
        "authorized_official_telephone_number": "337-828-3651"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "753-087T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1170534",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T19440",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMEAUX BC FKLN",
            "identifier": "439064365B",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19040283",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "III BLUE CROSS FKLN",
            "identifier": "434689892B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA/Kidd Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KIDD VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.