Richard L. Granger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

976-139T Issued in LA

Practice address

10900 Highway 3125
Suite F
Lutcher, LA 70071-5639

Phone

(225) 869-5043

Fax

(225) 869-8400

NPI assigned

Jan 23, 2006

Last updated

Jul 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• River Parishes Eyecare Other name

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolyn Van OD and Associates LLCGroup PAC ID 0345547519, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolyn Van OD & Associates, LLC

  dba Complete Vision Care

  • Optometrist
  • Lafayette, LA
  • NPI 1497116297
  Medicare reassignment Care Compare group
• Jason Wonch, O.D. and Associates, a.P.C.

  dba Visionworks

  • Optometrist
  • Lake Charles, LA
  • NPI 1295769008
  Medicare reassignment NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Gonzales, LA
  • NPI 1699812909

  Optometrist

  Medicare reassignment NPD
• Rpe,Inc

  dba River Parishes Eyecare

  • Primary Care Clinic/Center
  • Lutcher, LA
  • NPI 1477856771
  Authorized official Same address or phone
• Jason Wonch OD and Associates Apc

  dba EyeMasters

  • Eyewear Supplier
  • Shreveport, LA
  • NPI 1699050849
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1134687403
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • New Roads, LA
  • NPI 1154943918
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Saint Francisville, LA
  • NPI 1487495131

  Optometrist

  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Denham Springs, LA
  • NPI 1841295813

  Optometrist

  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Zachary, LA
  • NPI 1972509156

  Optometrist

  NPD
• Communitas Primary Care St James

  • Primary Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1619409141
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1720058878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 HIGHWAY 3125",
            "address_2": "SUITE F",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715639",
            "telephone_number": "225-869-5043",
            "fax_number": "225-869-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 HIGHWAY 3125",
            "address_2": "SUITE F",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715639",
            "telephone_number": "225-869-5043",
            "fax_number": "225-869-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "RICHARD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "LA. 976-139T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "976-139T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1360163",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIVER",
            "last_name": "EYECARE",
            "middle_name": "PARISHES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Frank Boyd Favaloro, D D S
• Michael Thomas Favaloro, D D S
• Geaux 2 Transport Solutions, L.L.C.
• Scott Giardina
• Rachel P. Gill
• Homesight of Southeast Louisiana, LLC
• Jeanette Ellen Hotard, CFNP
• Houma Orthopedic Clinic AMC
• Theresa Jenkins, P.T.
• Carrion R Johnson

• Optometrist in Lutcher, LA
• Providers in Lutcher, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.

Verify at the official NPI Registry.