Individual provider Active NPI

Robert Howard Pierce Jr., O.D.

  • Optometrist
  • Ruston, LA
National Provider Identifier
1760451439
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1000-294T Issued in LA
Practice address
116 Killgore Rd
Suite 1
Ruston, LA 71270-7084
Phone
(318) 251-3626
Fax
(318) 251-3330
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1000-294T LA Primary

Addresses

Primary practice location

116 Killgore Rd
Suite 1
Ruston, LA 71270-7084

Mailing address

116 Killgore Rd
Suite 1
Ruston, LA 71270-7084
Phone (318) 251-3626

Other identifiers 1

IdentifierTypeStateIssuer
1550418MedicaidLA

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
I20050609000115 LA Practitioner - Optometry 0547203697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pierce Optometry, LLCGroup PAC ID 6103858139, 2 clinicians

Practice addresses (Care Compare)

116 Killgore Rd
Suite 1
Ruston, LA 71270-7090
Phone (318) 251-3626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1000-294TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Jun 6, 2005 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Optometrist CurrentSince Jun 6, 2005 Accepting new patients
Pierce Optometry, LLC Optometrist CurrentSince Jun 20, 2005 Accepting new patients

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

116 Killgore Rd
Ste 1
Ruston, LA 71270
Phone (318) 251-3626

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Interoperability endpoints

  • Direct secure messaging: pierce@hhec1211.srs-direct.com

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1760451439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 KILLGORE RD",
            "address_2": "SUITE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707084",
            "telephone_number": "318-251-3626",
            "fax_number": "318-251-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 KILLGORE RD",
            "address_2": "SUITE 1",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707084",
            "telephone_number": "318-251-3626",
            "fax_number": "318-251-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "ROBERT",
        "middle_name": "HOWARD",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1000-294T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550418",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.