Active NPI
Surgical Eye Associates
- Ophthalmology Physician
- Covington, LA
National Provider Identifier
1376649939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1799386 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI 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.