Active NPI
Bryan Elliot Lusk, M.D.
- Ophthalmology Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 203516
- Practice address
- 451 Ashley Ridge Blvd
Shreveport, LA 71106-7229 - Phone
- (318) 222-5555
- Fax
- (318) 222-6414
- NPI assigned
- May 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 203516 | LA | Primary |
| Ophthalmology Physician | 207W00000X | 62138 | GA |
Addresses
Primary practice location
451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Mailing address
451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 222-5555
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 222-5555
451 Ashley Ridge Blvd
Shreveport, LA 71106-7229
Phone (318) 222-5555
Hospital & facility affiliations
- Willis Knighton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 610 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62138 | GA | MD | Ophthalmology Physician |
| 203516 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser & Cataract Center of Shreveport LLC | Current | Accepting new patients |
Locations
445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130
Interoperability endpoints
- minblusk@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Shreveport, LA
- NPI 1053405357
-
- Ambulatory Surgical Clinic/Center
- Shreveport, LA
- NPI 1659356392
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270598400000",
"number": "1700043643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 ASHLEY RIDGE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067229",
"telephone_number": "318-222-5555",
"fax_number": "318-222-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 ASHLEY RIDGE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067229",
"telephone_number": "318-222-5555",
"fax_number": "318-222-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSK",
"first_name": "BRYAN",
"middle_name": "ELLIOT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2010-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "203516",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "62138",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 7, 2010; 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.