Pierce Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1000-294T Issued in LA

Legal business name

PIERCE OPTOMETRY, LLC

Doing business as

Northside Eye Care

Practice address

116 Killgore Rd
Suite 1
Ruston, LA 71270-7084

Phone

(318) 251-3626

Fax

(318) 251-3330

NPI assigned

Mar 15, 2006

Organization subpart

No

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

Authorized official

Name

Robert Howard Pierce Jr., O.D.NPI 1760451439

Title

Owner

Phone

(318) 251-3626

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NORTHSIDE EYE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

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

• Robert Howard Pierce Jr., O.D.

  • Optometrist
  • Ruston, LA
  • NPI 1760451439
  Medicare reassignment Care Compare group NPD Authorized official
• Anna Fuller Barbiero, O.D.

  • Optometrist
  • Ruston, LA
  • NPI 1629694310
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1558330316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 KILLGORE RD",
            "address_2": "SUITE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707084",
            "telephone_number": "318-251-3626",
            "fax_number": "318-251-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 KILLGORE RD",
            "address_2": "SUITE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707084",
            "telephone_number": "318-251-3626",
            "fax_number": "318-251-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-251-3626",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1000-294T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550418",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "T7623",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHSIDE EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perry Petite
• Van Phillips Jr
• Kambri Phillips
• Kerrilyn Phillips, SLP.D.
• Michael Shane Phillips, M.D.
• Robert Howard Pierce Jr., O.D.
• PMG Opco-Alpine LLC (Alpine Skilled Nursing and Rehabilitation)
• Lois Poland
• Jamie Marie Portacci, APRN, FNP-C
• Byron Pottorff, MS, ATC

• Optometrist in Ruston, LA
• Providers in Ruston, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.