Organization Active NPI

Dr Ginger Delafosse LLC

  • Optometrist
  • Ville Platte, LA
National Provider Identifier
1710632518
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR GINGER DELAFOSSE LLC
Practice address
508 McArthur St
Ville Platte, LA 70586-2906
Phone
(337) 327-8447
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Dr. Ginger Delafosse, ODNPI 1871807263
Title
Owner
Phone
(337) 831-5659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

508 McArthur St
Ville Platte, LA 70586-2906

Mailing address

508 McArthur St
Ville Platte, LA 70586-2906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220816001766 LA Part B Supplier - Clinic/Group Practice 2466839857 Receives reassigned benefits from 1 practitioner
Practice locations: Ville Platte, LA

National Provider Directory

National Provider Directory

Locations

508 McArthur St
Ville Platte, LA 70586
Phone (337) 327-8447

Practitioners & 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": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1710632518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MCARTHUR ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MCARTHUR ST",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705862906",
            "telephone_number": "337-327-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GINGER DELAFOSSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "DELAFOSSE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-831-5659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.

Verify at the official NPI Registry.