Individual provider Active NPI

Emily Ann Devillier

  • Optometrist
  • Gonzales, LA
National Provider Identifier
1740963305
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2013-959AT Issued in LA
Practice address
1004 W Highway 30
Gonzales, LA 70737-5001
Phone
(225) 647-4430
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2013-959AT LA Primary

Addresses

Primary practice location

1004 W Highway 30
Gonzales, LA 70737-5001

Mailing address

1004 W Highway 30
Gonzales, LA 70737-5001
Phone (225) 647-4430

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017000354 LA Practitioner - Optometry 2466807078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accent Optical IncGroup PAC ID 7719183441, 4 clinicians

Practice addresses (Care Compare)

1004 W Hwy 30
Gonzales, LA 70737-5001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accent Optical, Inc. CurrentSince Aug 8, 2023 Accepting new patients

Locations

1004 W Highway 30
Ste 100
Gonzales, LA 70737
Phone (225) 644-4444

1004 W Highway 30
Gonzales, LA 70737
Phone (225) 647-4430

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1740963305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375001",
            "telephone_number": "225-647-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375001",
            "telephone_number": "225-647-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVILLIER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2013-959AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.