Active NPI
Dennis L. Surratt, O.D.
- Optometrist
- Port Allen, LA
National Provider Identifier
1427146398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1037-252T
- Practice address
- 3255 Hwy 1 South
Port Allen, LA 70767 - Phone
- (225) 296-8064
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1037-252T | LA | Primary |
Addresses
Primary practice location
3255 Hwy 1 South
Port Allen, LA 70767
Mailing address
3671 Ridgetop Dr
Baton Rouge, LA 70809-2636
Phone (225) 296-8064
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070123000023 | LA | Practitioner - Optometry | 6507867322 | Practice locations: Opelousas, LA; Port Allen, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3255 Hwy 1 S
Port Allen, LA 70767
3255 La Hwy 1 S
Port Allen, LA 70767-5858
Phone (225) 749-7406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427146398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3671 RIDGETOP DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092636",
"telephone_number": "225-296-8064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 HWY 1 SOUTH",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "70767",
"telephone_number": "225-296-8064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRATT",
"first_name": "DENNIS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1037-252T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Allen, LA
- Crista Bella Stephens, M.S., CCC-SLP, CLC
- Shwanna Renee Sterling, PA-C
- Stevens Pharmacy Inc (Stevens Pharmacy)
- Chandra Charlita Stewart
- Sarah Stickley
- SWC West Baton Rouge, LLC (Medical Spine, Spine & Sports of WBR)
- Kaleb M Thibodeaux, PMHNP
- Totally Into You Counseling and Consulting
- Bethany Toups, LCSW-BACS
- Deborah Ann Treuil, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.