Organization Active NPI

Jason Wonch OD and Associates a P C

  • Eyewear Supplier
  • Alexandria, LA
National Provider Identifier
1386733202
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JASON WONCH OD AND ASSOCIATES A P C
Practice address
3437 Masonic Drive
Alexandria, LA 71301-3686
Phone
(318) 442-7711
Fax
(318) 442-9494
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Jason Wonch, O.D.
Title
Owner
Phone
(985) 641-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3437 Masonic Drive
Alexandria, LA 71301-3686

Mailing address

PO Box 849759
Dallas, TX 75284-9759
Phone (210) 524-6663

Other identifiers 1

IdentifierTypeStateIssuer
1114626MedicaidLA

Other names 1

  • Visionworks Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1386733202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849759",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849759",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013686",
            "telephone_number": "318-442-7711",
            "fax_number": "318-442-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON WONCH OD AND ASSOCIATES A P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "WONCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-641-8866",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114626",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.