Active NPI
Kidd and Associcates LLC
- Optometrist
- Franklin, LA
National Provider Identifier
1366575615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 753-087T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 753-087T | LA | Primary |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1170534 | Medicaid | LA | |
| T19440 | Other | LA | UPIN |
| 439064365B | Other | LA | COMEAUX BC FKLN |
| 19040283 | Medicaid | LA | |
| 434689892B | Other | LA | III BLUE CROSS FKLN |
Other names 2
- DBA/Kidd Vision Center
- KIDD VISION CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Optometrist
- Morgan City, LA
- NPI 1245364116
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Franklin, LA
- NPI 1902996911
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.