Individual provider Active NPI

Eugene Gary Oppman, O.D.

  • Optometrist
  • Independence, LA
National Provider Identifier
1396724639
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1033-109T Issued in LA
Practice address
312 Martin Luther King Jr St
Independence, LA 70443-2387
Phone
(985) 878-1066
Fax
(504) 617-6303
NPI assigned
Jan 14, 2006
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1033-109T LA Primary

Addresses

Primary practice location

312 Martin Luther King Jr St
Independence, LA 70443-2387

Mailing address

PO Box 10190
New Orleans, LA 70181-0190
Phone (985) 878-1066

Other identifiers 6

IdentifierTypeStateIssuer
1370771MedicaidLA
410011344OtherLARAILROAD MEDICARE PIN
1588832919OtherLAGROUP NPI
F2422OtherLABLUE CROSS
57878OtherLAMEDICARE GROUP
DE5503OtherLARAILROAD MEDICARE GROUP

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
I20040927000027 LA Practitioner - Optometry 3870584287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1939 Burgundy St Unit
Suite 8
New Orleans, LA 70116-1669

312 Martin Luther King Jr St
Independence, LA 70443-2387
Phone (985) 878-1066

P O Box
Suite 4119
Covington, LA 70434-4119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1033-109TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Oppman Apoc Inc Optometrist CurrentSince Jan 1, 1992 Accepting new patients
Orleans Medical LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1396724639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10190",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701810190",
            "telephone_number": "985-878-1066",
            "fax_number": "504-617-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 MARTIN LUTHER KING JR ST",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432387",
            "telephone_number": "985-878-1066",
            "fax_number": "504-617-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPMAN",
        "first_name": "EUGENE",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1033-109T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370771",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "410011344",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1588832919",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "F2422",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "57878",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DE5503",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, LA

Sources for this page

Verify at the official NPI Registry.