Eyecare Specialists of Louisiana

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

201034 Issued in LA

Legal business name

EYECARE SPECIALISTS OF LOUISIANA

Practice address

1801 Fairfield Ave
Suite 103
Shreveport, LA 71101-4457

Phone

(318) 841-3937

Fax

(318) 841-2505

NPI assigned

Sep 17, 2009

Organization subpart

No

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

Authorized official

Name

John Barry Carmody, MD

Title

Owner

Phone

(318) 841-3937

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1407189772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1062",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711631062",
            "telephone_number": "318-841-3937",
            "fax_number": "318-841-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE",
            "address_2": "SUITE 103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014457",
            "telephone_number": "318-841-3937",
            "fax_number": "318-841-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SPECIALISTS OF LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-841-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "201034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exceptional Client Care Services
• Exceptional Client Care Services L.L.C
• Exceptional Wellness of Louisiana Incorporated
• Eye Care, Inc
• Eye Central
• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyes & Eyewear Inc.
• Jade Eyler, MA,LPC
• Riah Brooke Eyre, M.S., CCC-SLP

• Ophthalmology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.