Organization Active NPI

Louisiana Eye and Laser

  • Medical Specialty Clinic/Center
  • Alexandria, LA
National Provider Identifier
1790381069
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
LOUISIANA EYE AND LASER
Practice address
231 Windermere Blvd
Alexandria, LA 71303-3538
Phone
(318) 487-2020
Fax
(318) 427-0173
NPI assigned
Dec 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Shundricka Robinson
Title
Billing Team Lead
Phone
(318) 487-2020

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Medical Specialty Clinic/Center 261QM2500X Primary
Ophthalmologic Surgery Clinic/Center 261QS0132X
Eyewear Supplier 332H00000X

Addresses

Primary practice location

231 Windermere Blvd
Alexandria, LA 71303-3538

Mailing address

231 Windermere Blvd
Alexandria, LA 71303-3538
Phone (318) 487-2020

Other identifiers 1

IdentifierTypeStateIssuer
1441210MedicaidLA

Other names 1

  • LOUISIANA EYE AND LASER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shudson@laeyeandlaser.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1790381069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-487-2020",
            "fax_number": "318-427-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-487-2020",
            "fax_number": "318-427-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA EYE AND LASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SHUNDRICKA",
        "authorized_official_title_or_position": "BILLING TEAM LEAD",
        "authorized_official_telephone_number": "318-487-2020"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441210",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shudson@laeyeandlaser.com",
            "affiliation": "N",
            "endpointDescription": "shudson@laeyeandlaser.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 Windermere Blvd",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713033538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LOUISIANA EYE AND LASER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LOUISIANA EYE AND LASER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.