Jared Vincent MD Ruston Eye Institute LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

025302 Issued in LA

Legal business name

JARED VINCENT MD RUSTON EYE INSTITUTE LLC

Practice address

400 E Vaughn Ave
Ruston, LA 71270-5951

Phone

(318) 251-0620

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Jared Mark Vincent, M.D.

Title

Owner

Phone

(318) 251-0620

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Darryl L Johnson, MD

  • Ophthalmology Physician
  • Ruston, LA
  • NPI 1598765661
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1619189362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705951",
            "telephone_number": "318-251-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705951",
            "telephone_number": "318-251-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED VINCENT MD RUSTON EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-251-0620",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "025302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1639167836",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578967",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "4K576CY25",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Womble Jackson Jr.
• Ashley Bre'Ann Jacobs
• James M Belue, a Medical Corporation
• James S Finley MD a Professional Medical Corporation
• Jan'S Optical, LLC
• Amy Nicole Jarreau, PHARM. D.
• Sherree Jarvis
• JBJT Services, LLC
• Aaron Jennings
• Darryl L Johnson, MD

• Ophthalmology Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.