Vision Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1339527T Issued in LA

Legal business name

VISION CLINIC LLC

Practice address

414 E 7TH Ave
Oakdale, LA 71463-2624

Phone

(318) 335-3275

Fax

(318) 335-3271

NPI assigned

Oct 18, 2007

Last updated

Jul 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald G Gerdes II, O.D.NPI 1013056308

Title

Owner

Phone

(318) 335-3275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald George Gerdes Jr., O.D.

  • Optometrist
  • Oakdale, LA
  • NPI 1013056308
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Mary White, O.D.

  • Optometrist
  • Harahan, LA
  • NPI 1407925845
  Medicare reassignment Care Compare group NPD
• Vallee Augustus Debellevue II, O.D.

  • Optometrist
  • Abita Springs, LA
  • NPI 1144459272
  Medicare reassignment NPD
• Lindsay Romero Dugas, O.D.

  • Optometrist
  • Jennings, LA
  • NPI 1780026195
  Medicare reassignment NPD
• Geesala Garvin, OD

  • Optometrist
  • Metairie, LA
  • NPI 1033466024
  Medicare reassignment NPD
• Paul Bradley Lapoint Jr., O.D.

  • Optometrist
  • Bunkie, LA
  • NPI 1053865154
  Medicare reassignment NPD
• Robert Theus Crotty, O.D.

  • Optometrist
  • Alexandria, LA
  • NPI 1659364453
  NPD (past)
• Toni Coates Harvey, O.D.

  • Optometrist
  • Alexandria, LA
  • NPI 1164426839
  NPD (past)
• Patrick Redmond, M.D.

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1568780195
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1568651222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E 7TH AVE",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632624",
            "telephone_number": "318-335-3275",
            "fax_number": "318-335-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E 7TH AVE",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714632624",
            "telephone_number": "318-335-3275",
            "fax_number": "318-335-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-335-3275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1339527T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "5CM73",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Demeteria Rochelle Tolbert
• Truth Faith 3 LLC
• Twinklingsmiles of Oakdale
• Cindy F Vidrine Reed, RAC
• Charles Remie Vidrine Jr., MD
• Malikah Wade
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1107)
• Brandon B Wax, OD
• Keri Denise Wilburn
• Women's Clinic of Oakdale, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.