Wyche Taylor Coleman III

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD.203333 Issued in LA

Practice address

2530 Bert Kouns Industrial Loop Ste 116
Shreveport, LA 71118-3153

Phone

(318) 212-5901

Fax

(318) 212-5905

NPI assigned

May 29, 2007

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in Shreveport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Pierremont Eye InstituteGroup PAC ID 3375563216, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wcoleman726601@direct.ochsner.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WK Pierremont Eye Institute

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1932130192
  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222

  Ophthalmology

  Medicare reassignment NPD
• Natchitoches Family Eye Care LLC

  dba Center for Sight

  • Optometrist
  • Natchitoches, LA
  • NPI 1508943374
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Natchitoches Parish Hospital Service District

  dba North Natchitoches Medical Clinic

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Women's Health Center

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1568897692

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba Natchitoches Imaging

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1639243967
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba Natchitoches Regional Medical Center

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Walk In Clinic

  • Clinic/Center
  • Natchitoches, LA
  • NPI 1821414897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Cancer Center

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1972171072

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1841491826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 GREENWOOD RD",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033907",
            "telephone_number": "318-675-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BERT KOUNS INDUSTRIAL LOOP STE 116",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183153",
            "telephone_number": "318-212-5901",
            "fax_number": "318-212-5905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Department of Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "WYCHE",
        "middle_name": "TAYLOR",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.203333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09976",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sonya Coleman
• Stancy Tomekio Coleman, APRN, PMHNP-BC
• Tania Coleman
• Waureen Coleman, LOTR
• Whitney Coleman, PHARMD
• Colemans of Louisiana Inc (Advantage Prosthetics & Orthotics)
• Cynthia Collier, AU.D.
• Angel Collins
• Cory Lane Collins, PHARMD
• David Collins, PHARMD

• Ophthalmology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.