Laser & Cataract Center of Shreveport LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

122 Issued in LA

Legal business name

LASER & CATARACT CENTER OF SHREVEPORT LLC

Doing business as

Eye Surgery Center

Practice address

445 Ashley Ridge Blvd
Shreveport, LA 71106

Phone

(318) 869-1130

NPI assigned

Dec 14, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte L Alford, RN

Title

RN Manager Administrator

Phone

(318) 869-1130

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Laser and Cataract Center of Shreveport LLCCCN 19C0001090

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Carol S Clemons, M.D., PH.D.

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1609879931
  NPD
• Bryan Elliot Lusk, M.D.

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1700043643
  NPD
• Bryan Johannes Vekovius, M.D.

  • Specialist
  • Shreveport, LA
  • NPI 1285674820
  NPD (past)

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1659356392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067229",
            "telephone_number": "318-869-1130",
            "fax_number": "318-865-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ASHLEY RIDGE BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-869-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER & CATARACT CENTER OF SHREVEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RN MANAGER ADMINISTRATOR",
        "authorized_official_telephone_number": "318-869-1130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1527211",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160563",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Nels Larsen, P.T., A.T.C., S.T.S.
• Andrew W Larson, MD
• Bradly Kendall Larson, O.D.
• Amanda Gail Lary, PHARM.D.
• Addison Ruth Lasater, PA-C
• Tyler Donald Lash, M.D.
• Cody Stutson Lasiter, PT, DPT
• Rebecca Strahan Laskowski, LDN RD LPC LAC
• Todd P Laster, CRNA
• Mickey Dawnell Lathon, LMSW

• Ambulatory Surgical Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.