Jacqueline La-Shawn Pierre, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5254TG Issued in TX

Practice address

4810 North St
Nacogdoches, TX 75965-1876

Phone

(936) 569-2015

Fax

(936) 398-6912

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Lashawn King Former name

Medicare fee-for-service enrollment

Enrolled in TX

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 of Houston - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• King Vision LLC

  • Optometrist
  • Nacogdoches, TX
  • NPI 1780243097
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1871572933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 CAROLE ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652267",
            "telephone_number": "954-261-1026",
            "fax_number": "936-398-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651876",
            "telephone_number": "936-569-2015",
            "fax_number": "936-398-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JACQUELINE",
        "middle_name": "LA-SHAWN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5254TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "KING",
            "middle_name": "LASHAWN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pharm Nacogdoches Acquisition LLC
• Pharm Nacogdoches Acquisition LLC
• Pharm Nacogdoches Acquisition LLC
• Mark David Picou, PT
• Lacee G Pierce, NP
• Pine View Counseling and Consulting PLLC
• Kimberly Pineda, LOTA
• Piney Woods ER IV
• Piney Woods Orthopedics
• Pineywoods Eye Associates P a

• Optometrist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.