Individual provider Active NPI

Verle Judd, OD

  • Optometrist
  • Shreveport, LA
National Provider Identifier
1659943736
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1934-870AT Issued in LA
Practice address
8889 Jewella Ave Ste D
Shreveport, LA 71118-2138
Phone
(903) 319-1158
NPI assigned
Jul 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1934-870AT LA Primary

Addresses

Primary practice location

8889 Jewella Ave Ste D
Shreveport, LA 71118-2138

Mailing address

8889 Jewella Ave Ste D
Shreveport, LA 71118-2138
Phone (318) 686-5227

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
I20220621000809 LA Practitioner - Optometry 9032598123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye CentralGroup PAC ID 2365765658, 2 clinicians

Practice addresses (Care Compare)

8889 Jewella Ave
Suite C
Shreveport, LA 71118-2138
Phone (318) 686-5227

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1934-870ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Central Optometrist CurrentSince Jun 8, 2022 Accepting new patients

Locations

8889 Jewella Ave
Ste C
Shreveport, LA 71118
Phone (318) 686-5227

8889 Jewella Ave
Ste D
Shreveport, LA 71118
Phone (318) 686-5227

Organizations & group practices 1

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": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1659943736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8889 JEWELLA AVE STE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182138",
            "telephone_number": "318-686-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 JEWELLA AVE STE D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182138",
            "telephone_number": "903-319-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "VERLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1934-870AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.