Individual provider Active NPI

Sherwood Lamar Gordey, OD

  • Optometrist
  • Ferriday, LA
National Provider Identifier
1629152467
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
937512T Issued in LA
Practice address
210 Serio Blvd
Ferriday, LA 71334
Phone
(318) 757-3440
Fax
(318) 757-3446
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 937512T LA Primary

Addresses

Primary practice location

210 Serio Blvd
Ferriday, LA 71334

Mailing address

210 Serio Blvd
Ferriday, LA 71334
Phone (318) 757-3440

Other identifiers 2

IdentifierTypeStateIssuer
1330817MedicaidLA
P00239383OtherRAILROAD MEDICARE

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
I20040503001293 LA Practitioner - Optometry 8022006691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Eye Care LLCGroup PAC ID 5193992972, 22 clinicians

Practice addresses (Care Compare)

830 S Broadway St
Acadia St Landry Guest House
Church Point, LA 70525-4402
Phone (337) 684-6316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
937512TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Eye Care, LLC Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Welch Eye Center Past Accepting new patients
Jason Wonch, O.D. and Associates, a.P.C. Optometrist Past Accepting new patients
Jason Wonch OD and Associates Apc Past Accepting new patients

Locations

830 S Broadway St
Church Point, LA 70525
Phone (337) 684-6313

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629152467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "71334",
            "telephone_number": "318-757-3440",
            "fax_number": "318-757-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SERIO BLVD",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "71334",
            "telephone_number": "318-757-3440",
            "fax_number": "318-757-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDEY",
        "first_name": "SHERWOOD",
        "middle_name": "LAMAR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "937512T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330817",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00239383",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferriday, LA

Sources for this page

Verify at the official NPI Registry.