NPIMap

Organization Active NPI

Pete Wardell O.D. LLC

  • Optometrist
  • Natchitoches, LA
National Provider Identifier
1740509462
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1419-543T Issued in LA
Legal business name
PETE WARDELL O.D. LLC
Practice address
104 Chinquapin Cir
Natchitoches, LA 71457-6278
Phone
(318) 332-6171
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Dr. Pete Wardell, O.D.
Title
Manager
Phone
(318) 332-6171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1419-543T LA Primary

Addresses

Primary practice location

104 Chinquapin Cir
Natchitoches, LA 71457-6278

Mailing address

104 Chinquapin Cir
Natchitoches, LA 71457-6278
Phone (318) 332-6171

National Provider Directory

National Provider Directory

Locations

750 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-8779

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1740509462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHINQUAPIN CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576278",
            "telephone_number": "318-332-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHINQUAPIN CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576278",
            "telephone_number": "318-332-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE WARDELL O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-332-6171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1419-543T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.