NPIMap

Organization Active NPI

Natchitoches Family Eye Care LLC

Doing business as Center for Sight

  • Optometrist
  • Natchitoches, LA
National Provider Identifier
1508943374
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1419543T Issued in LA
Legal business name
NATCHITOCHES FAMILY EYE CARE LLC
Doing business as
Center for Sight
Practice address
140 E 5TH St
Natchitoches, LA 71457-5725
Phone
(318) 357-8194
Fax
(318) 352-3145
NPI assigned
Nov 1, 2006
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Pete Wardell, ODNPI 1467495382
Title
Director
Phone
(318) 357-8194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1419543T LA Primary

Addresses

Primary practice location

140 E 5TH St
Natchitoches, LA 71457-5725

Mailing address

140 E 5TH St
Natchitoches, LA 71457-5725
Phone (318) 357-8194

Other names 1

  • Center for Sight Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070219000406 LA Part B Supplier - Clinic/Group Practice 0042312258 Receives reassigned benefits from 9 practitioners
Practice locations: Winnfield, LA; Natchitoches, LA; Many, LA; Coushatta, LA
O20100930032241 LA DME Supplier - Physician - OptometristDME Supplier - Optician 0042312258 Practice locations: Natchitoches, LA

National Provider Directory

National Provider Directory

Locations

207 E North St
Winnfield, LA 71483
Phone (318) 628-1505

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1508943374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575725",
            "telephone_number": "318-357-8194",
            "fax_number": "318-352-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575725",
            "telephone_number": "318-357-8194",
            "fax_number": "318-352-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-357-8194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1419543T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Sight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.