NPIMap

Organization Active NPI

Eyecare Specialists of Louisiana

  • Ophthalmology Physician
  • Shreveport, LA
National Provider Identifier
1407189772
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
John Barry Carmody, MDNPI 1619187648
Title
Owner
Phone
(318) 841-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 201034 LA Primary

Addresses

Primary practice location

1801 Fairfield Ave
Suite 103
Shreveport, LA 71101-4457

Mailing address

PO Box 1062
Shreveport, LA 71163-1062
Phone (318) 841-3937

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • 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.