Individual provider Active NPI

Brett Michael Bennett, O.D.

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1861868853
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1801-735AT Issued in LA
Practice address
231 Windermere Blvd
Alexandria, LA 71303-3538
Phone
(318) 487-2020
Fax
(318) 427-0181
NPI assigned
Aug 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1801-735AT LA Primary

Addresses

Primary practice location

231 Windermere Blvd
Alexandria, LA 71303-3538

Mailing address

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

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
I20151007000464 LA Practitioner - Optometry 4688982986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Eye and Laser Center LLCGroup PAC ID 4789641010, 24 clinicians

Practice addresses (Care Compare)

65 Medical Park Blvd
Pineville, LA 71360-8428
Phone (318) 487-2020

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Central Louisiana CurrentSince Jan 28, 2016 Accepting new patients
Christus Health Central Louisiana CurrentSince Jan 28, 2016 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Aug 1, 2015 Accepting new patients
Alexandria Eye and Laser Center, LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

231 Windermere Blvd
Alexandria, LA 71303
Phone (318) 445-7770

210 Serio Blvd
Ferriday, LA 71334
Phone (318) 757-3440

201 Fritz St
Jonesville, LA 71343
Phone (318) 339-9477

1008 S 6th St
Leesville, LA 71446
Phone (337) 392-1994

108 Medic Ave
Marksville, LA 71351
Phone (318) 253-9766

1310 N 19th St
Monroe, LA 71201
Phone (318) 288-2020

1055 Parkway Dr
Ste B
Natchitoches, LA 71457
Phone (318) 352-0444

118 South Dr
Natchitoches, LA 71457
Phone (318) 352-0444

607 Rue de Brille
New Iberia, LA 70563
Phone (318) 367-1247

414 E 7th Ave
Oakdale, LA 71463
Phone (318) 335-3275

65 Medical Park Blvd
Pineville, LA 71360
Phone (318) 445-6363

206 Jack Miller Rd
Ville Platte, LA 70586
Phone (318) 641-2488

207 S Saint John St
Winnfield, LA 71483
Phone (318) 561-0947

2818 Bonin Rd
Youngsville, LA 70592
Phone (318) 447-0395

Interoperability endpoints

  • Direct secure messaging: bbennett@laeye.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1861868853",
    "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": "318-427-0181"
        },
        {
            "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": "318-427-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRETT",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1801-735AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.