Organization Active NPI

Optical Zone, LLC

  • Eyewear Supplier
  • Shreveport, LA
National Provider Identifier
1548569007
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OPTICAL ZONE, LLC
Practice address
2611 Greenwood Rd
Second Floor
Shreveport, LA 71103-3907
Phone
(318) 212-2020
NPI assigned
Mar 23, 2011
Organization subpart
Yes
Parent organization
OPTICAL ZONE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. James Paul Swearingen Jr., M.D.
Title
Owner
Phone
(318) 524-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2611 Greenwood Rd
Second Floor
Shreveport, LA 71103-3907

Mailing address

7607 Youree Dr
Shreveport, LA 71105-5501
Phone (318) 524-2226

Other identifiers 2

IdentifierTypeStateIssuer
1578819MedicaidLA
1041998MedicaidLA

Other names 1

  • Eyemagine Optical, LLc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Optical Zone LLC2 organizations share this tax ID, including this one
Part of
Optical Zone LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2611 Greenwood Rd
Fl Second
Shreveport, LA 71103
Phone (318) 212-2020

7607 Youree Dr
Shreveport, LA 71105
Phone (318) 212-3937

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1548569007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055501",
            "telephone_number": "318-524-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 GREENWOOD RD",
            "address_2": "SECOND FLOOR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033907",
            "telephone_number": "318-212-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ZONE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICAL ZONE, LLC",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "SWEARINGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-524-2226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578819",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041998",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyemagine Optical, LLc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.