NPIMap

Organization Active NPI

Eyes & Eyewear Inc.

  • Optometrist
  • Shreveport, LA
National Provider Identifier
1487826996
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
809097T Issued in LA
Legal business name
EYES & EYEWEAR INC.
Practice address
6823 Pines Rd
Suite B
Shreveport, LA 71129-5205
Phone
(318) 688-3050
Fax
(318) 688-3233
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Donald Walker, O.D.
Title
Owner
Phone
(318) 688-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 809097T LA Primary

Addresses

Primary practice location

6823 Pines Rd
Suite B
Shreveport, LA 71129-5205

Mailing address

6823 Pines Rd
Suite B
Shreveport, LA 71129-5205
Phone (318) 688-3050

Other identifiers 3

IdentifierTypeStateIssuer
1342696MedicaidLA
439724581COtherLABLUE CROSS OF LOUISIANA
4358428080OtherLABLUE CROSS OF LOUISIANA

National Provider Directory

National Provider Directory

Locations

6823 Pines Rd
Ste B
Shreveport, LA 71129
Phone (318) 688-3050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1487826996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6823 PINES RD",
            "address_2": "SUITE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295205",
            "telephone_number": "318-688-3050",
            "fax_number": "318-688-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6823 PINES RD",
            "address_2": "SUITE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295205",
            "telephone_number": "318-688-3050",
            "fax_number": "318-688-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES & EYEWEAR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-688-3050",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "809097T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342696",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LOUISIANA",
            "identifier": "439724581C",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF LOUISIANA",
            "identifier": "4358428080",
            "state": "LA"
        }
    ],
    "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 May 31, 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.