Individual provider Active NPI

Sagar Raman Desai, OD

  • Optometrist
  • Bossier City, LA
National Provider Identifier
1811513898
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1918-854AT Issued in LA
Practice address
2300 Hospital Dr Ste 140
Bossier City, LA 71111-2193
Phone
(318) 746-2020
NPI assigned
Jun 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LA
Optometrist 152W00000X 1918-854AT LA Primary

Addresses

Primary practice location

2300 Hospital Dr Ste 140
Bossier City, LA 71111-2193

Mailing address

606 Corinth Cir
Bossier City, LA 71111-6441
Phone (318) 364-7313

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
I20201103000678 LA Practitioner - Optometry 7214347202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bossier Eye Institute LLCGroup PAC ID 0648244848, 2 clinicians

Practice addresses (Care Compare)

2300 Hospital Dr
Suite 140
Bossier City, LA 71111-2193
Phone (318) 746-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1918-854ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bossier Eye Institute LLC CurrentSince Jul 22, 2020 Accepting new patients

Locations

2300 Hospital Dr
Ste 140
Bossier City, LA 71111
Phone (318) 746-2020

2300 Hospital Dr
Bossier City, LA 71111
Phone (318) 212-7080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEIHBD

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1811513898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 CORINTH CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116441",
            "telephone_number": "318-364-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR STE 140",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112193",
            "telephone_number": "318-746-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SAGAR",
        "middle_name": "RAMAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1918-854AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.