Jared Mark Vincent, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

025302 Issued in LA

Practice address

400 E Vaughn Ave
Ruston, LA 71270-5951

Phone

(318) 251-0620

Fax

(318) 251-0621

NPI assigned

Oct 11, 2005

Last updated

Jan 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in Shreveport, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heitmeier Physicians OpticalGroup PAC ID 8820234149, 7 clinicians

Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Eyecare Providers, LLCGroup PAC ID 2567359318, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heitmeier Physicians Optical

  • Optometrist
  • Marrero, LA
  • NPI 1114270444

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment Care Compare group NPD
• Eyecare Providers, LLC

  dba Eyecare Associates

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1477628154
  Medicare reassignment Care Compare group
• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  Medicare reassignment NPD
• Jared Vincent MD Ruston Eye Institute LLC

  • Ophthalmology Physician
  • Ruston, LA
  • NPI 1619189362
  Authorized official Same address or phone
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• Administrators of the Tulane Educational Fund

  • Specialist
  • Hattiesburg, MS
  • NPI 1033395298
  NPD
• Eyecare Associates, Inc.

  • Optometrist
  • Prattville, AL
  • NPI 1902902463
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Hospital & Clinics, Inc.

  dba Ochsner University Hospital & Clinics

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1306281126
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1639167836",
    "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",
            "fax_number": "318-251-0621"
        },
        {
            "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",
            "fax_number": "318-251-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JARED",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "025302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX IDENTIFICATION NUMBER",
            "identifier": "208916544",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5CY25",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1619189362",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578967",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDIVIDUAL NPI",
            "identifier": "1639167836",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adele Upshaw, P.T.
• Valid Voices Counseling Agency
• Marti Bordenlon Vandagriff, RDN LDN CDCES
• Herbert F Vandenberg, M.D.
• Jerrilyn Frasier Vaughan, AU.D., L-SLP/A
• Lacy Culver Vincent, PA
• Vision Associates Inc (Vision Center)
• Cynthia Paige Volentine
• Patricia D Volentine, CRNA
• Leslie Nicole Vowles, PT

• 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 Jan 26, 2012; 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.