Adam M Paddock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1370-505T Issued in LA

Practice address

222 Veterans Blvd
Denham Springs, LA 70726-4700

Phone

(225) 791-2020

Fax

(225) 791-2077

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Louisiana Professional PCGroup PAC ID 5799219515, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aeg Louisiana Professional PC

  • Optometrist
  • Alton, IL
  • NPI 1629827795

  LA

  Medicare reassignment Care Compare group
• Jason Wonch, O.D. and Associates, a.P.C.

  dba Visionworks

  • Optometrist
  • Lake Charles, LA
  • NPI 1295769008
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1598827099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264700",
            "telephone_number": "225-791-2020",
            "fax_number": "225-791-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264700",
            "telephone_number": "225-791-2020",
            "fax_number": "225-791-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADDOCK",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1370-505T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407739",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi M Olivier
• Omega Medical Supply Co. LLC
• Ilan Orgad
• Chad Oubre
• Outreach Behavioral Health Solutions
• Kaitlyn Michaela Page
• Paige One Medical, LLC
• Mandi Paille, B.S., SLP-ASSISTANT
• Maribel Palarca
• Breland Nicole Paline

• Optometrist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.