NPIMap

Organization Active NPI

Natchitoches Family Eye Care LLC

  • 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
Practice address
140 E 5TH St
Natchitoches, LA 71457-5725
Phone
(318) 357-8194
Fax
(318) 352-3145
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 10

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

Medicare participation

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

Medicare enrollment records 2

Medicare enrollment files
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

405 Polk St
Mansfield, LA 71052
Phone (318) 212-2020

140 E 5th St
Natchitoches, LA 71457
Phone (318) 238-5990

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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 identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
5862720001OtherLASUPPLIER (DME)
1407895MedicaidLA

Other names 1

NPPES NPI Registry
  • Center for Sight Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2008.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER (DME)",
            "identifier": "5862720001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407895",
            "state": "LA"
        }
    ],
    "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.