Organization Active NPI

Surgical Eye Associates

  • Ophthalmology Physician
  • Franklinton, LA
National Provider Identifier
1508029190
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SURGICAL EYE ASSOCIATES
Practice address
803 Riverside Dr
Franklinton, LA 70438-3635
Phone
(985) 839-5633
Fax
(983) 839-7988
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Richard O Bessent, MD
Title
Managing Officer
Phone
(985) 893-5777

Specialties & licenses 1

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

Addresses

Primary practice location

803 Riverside Dr
Franklinton, LA 70438-3635

Mailing address

1120 N Highway 190
Covington, LA 70433-5178
Phone (985) 893-5777

Other identifiers 1

IdentifierTypeStateIssuer
1799386MedicaidLA

National Provider Directory

National Provider Directory

Locations

803 Riverside Dr
Franklinton, LA 70438
Phone (985) 839-5633

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1508029190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335178",
            "telephone_number": "985-893-5777",
            "fax_number": "985-867-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 RIVERSIDE DR",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383635",
            "telephone_number": "985-839-5633",
            "fax_number": "983-839-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "BESSENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "985-893-5777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1799386",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.