Active NPI
Monica R Ladouceur, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1548422645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3267ATI
- Practice address
- 1010 E McDowell Rd
Ste 301
Phoenix, AZ 85006-2609 - Phone
- (602) 222-2234
- Fax
- (866) 985-7247
- NPI assigned
- Jun 30, 2008
- Sex
- Female
- 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 | 3267ATI | OR | Primary |
Addresses
Primary practice location
1010 E McDowell Rd
Ste 301
Phoenix, AZ 85006-2609
Mailing address
P.O. Box 97876
Phoenix, AZ 85060
Phone (541) 296-2911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500664737 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 81.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3267ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Brain Academy | Current | Accepting new patients | |
| Hawthorne Vision Center PC | Optometrist | Past | Accepting new patients |
| Abc Children'S Eye Specialists PC | Past | Accepting new patients |
Locations
1010 E McDowell Rd
Ste 301
Phoenix, AZ 85006
Phone (602) 222-2234
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Phoenix, AZ
- NPI 1548959935
-
- Eyewear Supplier
- Sun City, AZ
- NPI 1457410623
-
- Optometrist
- Portland, OR
- NPI 1770699860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1548422645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 97876",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85060",
"telephone_number": "541-296-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E MCDOWELL RD",
"address_2": "STE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062609",
"telephone_number": "602-222-2234",
"fax_number": "866-985-7247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADOUCEUR",
"first_name": "MONICA",
"middle_name": "R",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2024-05-29",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3267ATI",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500664737",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.