Organization Active NPI

Westside Eye Clinic

  • Specialist
  • Marrero, LA
National Provider Identifier
1831282524
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WESTSIDE EYE CLINIC
Practice address
4601 Wichers Dr
Marrero, LA 70072-3049
Phone
(504) 347-8434
Fax
(504) 347-9868
NPI assigned
Oct 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Earl J Sonnier, MDNPI 1073512497
Title
President
Phone
(504) 347-8434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LA Primary

Addresses

Primary practice location

4601 Wichers Dr
Marrero, LA 70072-3049

Mailing address

4601 Wichers Dr
Marrero, LA 70072-3049
Phone (504) 347-8434

Other identifiers 1

IdentifierTypeStateIssuer
1114928MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000322 LA Part B Supplier - Clinic/Group Practice 0143359281 Receives reassigned benefits from 5 practitioners
Practice locations: Marrero, LA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: skilleen@westsideeyeclinic.intellechartdirect.net
  • Direct secure messaging: oleftwich@westsideeyeclinic.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831282524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723049",
            "telephone_number": "504-347-8434",
            "fax_number": "504-347-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723049",
            "telephone_number": "504-347-8434",
            "fax_number": "504-347-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SONNIER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-347-8434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114928",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.