Alan Richard Pradillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1534565T Issued in LA

Practice address

1501 Derek Dr
Hammond, LA 70403-5745

Phone

(985) 345-0607

Fax

(985) 345-0490

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hammond Eye Clinic, L.L.C.Group PAC ID 2062435621, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Hammond Eye Clinic, L.L.C.

  • Optometrist
  • Hammond, LA
  • NPI 1386715985
  Medicare reassignment Care Compare group NPD Authorized official
• Gitter and Cohen a Medical Corporation

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
  • NPI 1740379783
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1831209311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W ROBERT ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013227",
            "telephone_number": "985-345-0607",
            "fax_number": "985-345-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DEREK DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035745",
            "telephone_number": "985-345-0607",
            "fax_number": "985-345-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADILLO",
        "first_name": "ALAN",
        "middle_name": "RICHARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1534565T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Post Acute Medical at Hammond LLC
• Laura Pounders
• Blake Pounds
• Amber Helen Powell, PHARM. D
• Victoria Mae Powell
• Lisa R Pradillo, OD
• Jessica Prankienas, APRN, CNM
• Precious Hands
• Premier Hearing and Balance, LLC
• Premier Medical Transportation, LLC

• Optometrist in Hammond, LA
• Providers in Hammond, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.