Organization Active NPI

Surgical Eye Associates

  • Ophthalmology Physician
  • Covington, LA
National Provider Identifier
1376649939
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SURGICAL EYE ASSOCIATES
Practice address
1120 N Highway 190
Covington, LA 70433-5178
Phone
(985) 893-5777
Fax
(985) 892-6285
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Richard Bessent
Title
Managing Officer
Phone
(985) 893-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1120 N Highway 190
Covington, LA 70433-5178

Mailing address

1120 N Highway 190
Covington, LA 70433-5178
Phone (985) 893-5777

Other identifiers 1

IdentifierTypeStateIssuer
1799386MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1376649939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335178",
            "telephone_number": "985-893-5777",
            "fax_number": "985-892-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335178",
            "telephone_number": "985-893-5777",
            "fax_number": "985-892-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "BESSENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "985-893-5777"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799386",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.