Individual provider Active NPI

Hannah Eastman Fawcett, O.D.

  • Optometrist
  • Lake Charles, LA
National Provider Identifier
1376985507
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1649-683T Issued in LA
Practice address
339 W Prien Lake Rd
Suite 200B
Lake Charles, LA 70601-8452
Phone
(337) 366-0905
Fax
(337) 474-1409
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1649-683T LA Primary

Addresses

Primary practice location

339 W Prien Lake Rd
Suite 200B
Lake Charles, LA 70601-8452

Mailing address

22141 Elton Dr
Jennings, LA 70546-8542
Phone (337) 329-2468

Other names 1

  • Dr. Hannah Lynn Eastman Former name

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
I20131112001449 LA Practitioner - Optometry 5890921365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Eyecare LLCGroup PAC ID 1658464268, 2 clinicians

Practice addresses (Care Compare)

1702 Johnson St
Jennings, LA 70546-3624
Phone (337) 824-1112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1649-683TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Eyecare, LLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients

Locations

1702 Johnson St
Jennings, LA 70546
Phone (337) 824-1112

339 W Prien Lake Rd
Ste 200
Lake Charles, LA 70601
Phone (337) 205-7437

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

Organizations & group practices 1

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1376985507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22141 ELTON DR",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468542",
            "telephone_number": "337-329-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W PRIEN LAKE RD",
            "address_2": "SUITE 200B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018452",
            "telephone_number": "337-366-0905",
            "fax_number": "337-474-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN FAWCETT",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1649-683T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "EASTMAN",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.