Organization Active NPI

Jason Wonch OD and Associates Apc

Doing business as EyeMasters

  • Eyewear Supplier
  • Shreveport, LA
National Provider Identifier
1699050849
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JASON WONCH OD AND ASSOCIATES APC
Doing business as
EyeMasters
Practice address
1133 Saint Vincent Ave
Box 34
Shreveport, LA 71104-4153
Phone
(318) 227-8053
Fax
(318) 227-8054
NPI assigned
Oct 19, 2011
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Jason D WonchNPI 1225190440
Title
Owner
Phone
(210) 524-6803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1133 Saint Vincent Ave
Box 34
Shreveport, LA 71104-4153

Mailing address

PO Box 849759
Dallas, TX 75284-9759
Phone (210) 524-6803

Other names 1

  • EyeMasters Doing business as

National Provider Directory

National Provider Directory

Locations

3437 Masonic Dr
#218
Alexandria, LA 71301
Phone (318) 442-7711

9580 Florida Blvd
#201
Baton Rouge, LA 70815
Phone (225) 926-3446

2950 E Texas St
Ste 634
Bossier City, LA 71111
Phone (318) 746-4649

5725 Johnston St
Ste 2307
Lafayette, LA 70503
Phone (337) 989-2020

336 W Prien Lake Rd
#68
Lake Charles, LA 70601
Phone (337) 474-3395

412 W Prien Lake Rd
#G5A
Lake Charles, LA 70601
Phone (337) 478-3525

4700 Millhaven Rd
Ste 1090
Monroe, LA 71203
Phone (318) 325-4598

1133 Saint Vincent Ave
#34
Shreveport, LA 71104
Phone (318) 227-2144

1133 Saint Vincent Ave
#76
Shreveport, LA 71104
Phone (318) 227-8053

150 Northshore Blvd
Ste 2060
Slidell, LA 70460
Phone (985) 641-7722

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1699050849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849759",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849759",
            "telephone_number": "210-524-6803",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 SAINT VINCENT AVE",
            "address_2": "BOX 34",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711044153",
            "telephone_number": "318-227-8053",
            "fax_number": "318-227-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON WONCH OD AND ASSOCIATES APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "WONCH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-524-6803"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeMasters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.