Pete Wardell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1419543T Issued in LA

Practice address

946 Keyser Ave
Natchitoches, LA 71457-6266

Phone

(318) 357-8194

Fax

(318) 357-3145

NPI assigned

Jun 14, 2006

Last updated

Apr 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natchitoches Family Eye Care LLCGroup PAC ID 0042312258, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Natchitoches Family Eye Care LLC

  dba Center for Sight

  • Optometrist
  • Natchitoches, LA
  • NPI 1508943374
  Medicare reassignment Care Compare group NPD Authorized official
• Desoto Family Eye Care LLC

  • Optometrist
  • Natchitoches, LA
  • NPI 1740571751
  Authorized official Same address or phone
• Byrd Medical Clinic Inc

  • Family Medicine Physician
  • Leesville, LA
  • NPI 1801895495
  NPD (past)
• Welch Eye Center

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1215978309
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1467495382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576266",
            "telephone_number": "318-357-8194",
            "fax_number": "318-357-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576266",
            "telephone_number": "318-357-8194",
            "fax_number": "318-357-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDELL",
        "first_name": "PETE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1419543T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1587443",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Walker
• Joan Walker, MD
• Letrisha Marie Walker, LPC
• NA'Loni Walker
• Charity Wamber
• Jennifer Ware
• Chasiti Warford
• Carlisa A Washington, CPNP-PC
• Marques Washington
• Randi Sade' Washington, MA, NCC, LPC

• Optometrist in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.

Verify at the official NPI Registry.