Active NPI
Alicia P Crooks, a Professional Optometry LLC
- Optometrist
- Bossier City, LA
National Provider Identifier
1679979694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1558-590T
- Legal business name
- ALICIA P CROOKS, A PROFESSIONAL OPTOMETRY LLC
- Practice address
- 2536 Airline Dr
Bossier City, LA 71111-5813 - Phone
- (318) 623-1664
- NPI assigned
- Nov 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alicia K Crooks, OD
- Title
- Optometrist
- Phone
- (318) 623-1664
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1558-590T | LA | Primary |
Addresses
Primary practice location
2536 Airline Dr
Bossier City, LA 71111-5813
Mailing address
134 Dogwood South LN
Haughton, LA 71037-7512
Phone (318) 623-1664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150427002164 | LA | Part B Supplier - Clinic/Group Practice | 3173842093 |
Receives reassigned benefits from 1 practitioner Practice locations: Bossier City, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416355200000",
"number": "1679979694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 DOGWOOD SOUTH LN",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710377512",
"telephone_number": "318-623-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2536 AIRLINE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115813",
"telephone_number": "318-623-1664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICIA P CROOKS, A PROFESSIONAL OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-19",
"last_updated": "2014-11-19",
"status": "A",
"authorized_official_last_name": "CROOKS",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "318-623-1664",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "LA",
"license": "1558-590T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
- Camelita Alexander
- Mercedes Alexander
- Taylor Alexander, M.S. CCC-SLP
- Terria Ebarb Alexander, LPC, BC-TMH, C-CATP
- Penny Ann Algrava, LPC
- Aligning Minds Therapy and Consulting
- All Age Medical P.C., Inc.
- Allegiance Integrated Care LLC
- Allen Chiropractic Clinic Inc
- Allen Cox MD and Willis-Knighton Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.