Individual provider Active NPI

Monica R Ladouceur, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1548422645
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3267ATI Issued in OR
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

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500664737MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
81.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3267ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Brain Academy CurrentSince Jun 2, 2024 Accepting new patients
Hawthorne Vision Center PC Optometrist PastSince Jan 1, 2000 Accepting new patients
Abc Children'S Eye Specialists PC PastSince Jun 2, 2024 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.

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.

Verify at the official NPI Registry.