Individual provider Active NPI

Cary J Vincent, OD

  • Optometrist
  • Terrytown, LA
National Provider Identifier
1568460533
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
835-020T Issued in LA
Practice address
608 Terry Pkwy
Terrytown, LA 70056-4306
Phone
(504) 361-3937
Fax
(504) 364-5700
NPI assigned
Jul 13, 2005
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 835-020T LA Primary

Addresses

Primary practice location

608 Terry Pkwy
Terrytown, LA 70056-4306

Mailing address

608 Terry Pkwy
Terrytown, LA 70056-4306
Phone (504) 361-3937

Other identifiers 1

IdentifierTypeStateIssuer
1336653MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000688 LA Practitioner - Optometry 9335135730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C V Eyecare LLCGroup PAC ID 3375447196, 2 clinicians

Practice addresses (Care Compare)

608 Terry Pkwy
Terrytown, LA 70056-4306
Phone (504) 361-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
835-020TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C V Eyecare,LLC Optometrist CurrentSince Apr 1, 1999 Accepting new patients

Locations

608 Terry Pkwy
Terrytown, LA 70056
Phone (504) 361-3932

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1568460533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 TERRY PKWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700564306",
            "telephone_number": "504-361-3937",
            "fax_number": "504-364-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 TERRY PKWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700564306",
            "telephone_number": "504-361-3937",
            "fax_number": "504-364-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "CARY",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "835-020T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336653",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

Verify at the official NPI Registry.