Active NPI
Andrew G. Erneston, O.D.
- Optometrist
- Lake Charles, LA
National Provider Identifier
1477535987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1336-470T
- Practice address
- 1717 Oak Park Blvd
Suite 1
Lake Charles, LA 70601-8991 - Phone
- (337) 478-3810
- Fax
- (337) 478-6360
- NPI assigned
- Nov 18, 2005
- 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 | 1336-470T | LA | Primary |
Addresses
Primary practice location
1717 Oak Park Blvd
Suite 1
Lake Charles, LA 70601-8991
Mailing address
1717 Oak Park Blvd
Suite 1
Lake Charles, LA 70601-8991
Phone (337) 478-3810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111228 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1208 | NC | MD | Marriage & Family Therapist |
| 1336-470T | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477535987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 OAK PARK BLVD",
"address_2": "SUITE 1",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018991",
"telephone_number": "337-478-3810",
"fax_number": "337-478-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 OAK PARK BLVD",
"address_2": "SUITE 1",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018991",
"telephone_number": "337-478-3810",
"fax_number": "337-478-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNESTON",
"first_name": "ANDREW",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1336-470T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1111228",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.