Organization Active NPI

The Hammond Eye Clinic, L.L.C.

  • Optometrist
  • Hammond, LA
National Provider Identifier
1386715985
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1534-565T Issued in LA
Legal business name
THE HAMMOND EYE CLINIC, L.L.C.
Practice address
110 W Robert St
Hammond, LA 70401-3227
Phone
(985) 345-0607
Fax
(985) 345-0490
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Dr. Alan Richard Pradillo, O.D.NPI 1831209311
Title
Owner
Phone
(985) 345-0607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1534-565T LA Primary

Addresses

Primary practice location

110 W Robert St
Hammond, LA 70401-3227

Mailing address

110 W Robert St
Hammond, LA 70401-3227
Phone (985) 345-0607

Other identifiers 1

IdentifierTypeStateIssuer
1949949MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110000199 LA Part B Supplier - Clinic/Group Practice 2062435621 Receives reassigned benefits from 2 practitioners
Practice locations: Hammond, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1386715985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W ROBERT ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013227",
            "telephone_number": "985-345-0607",
            "fax_number": "985-345-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W ROBERT ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013227",
            "telephone_number": "985-345-0607",
            "fax_number": "985-345-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAMMOND EYE CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "PRADILLO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-345-0607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1534-565T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949949",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.