Individual provider Active NPI

Amy Arlene Puerto, O.D.

  • Optometrist
  • Denham Springs, LA
National Provider Identifier
1881070498
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1993DT Issued in KY
Practice address
222 Veterans Blvd
Denham Springs, LA 70726-4724
Phone
(225) 791-2020
Fax
(225) 791-2077
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 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 1993DT KY Primary

Addresses

Primary practice location

222 Veterans Blvd
Denham Springs, LA 70726-4724

Mailing address

222 Veterans Blvd
Denham Springs, LA 70726-4724
Phone (225) 791-2020

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
I20151026000482 LA Practitioner - Optometry 6002125432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Family Eyecare, LLCGroup PAC ID 7113074717, 5 clinicians

Practice addresses (Care Compare)

1431 Ochsner Blvd
Suite a
Covington, LA 70433-8246
Phone (985) 875-7898

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1993DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Family Eyecare, LLC Optometrist CurrentSince Jan 11, 2017 Accepting new patients

Locations

1431 Ochsner Blvd
Ste A
Covington, LA 70433
Phone (985) 302-5225

107 Terra Bella Blvd
Covington, LA 70433
Phone (985) 875-7898

222 Veterans Blvd
Denham Springs, LA 70726
Phone (225) 791-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1881070498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264724",
            "telephone_number": "225-791-2020",
            "fax_number": "225-791-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VETERANS BLVD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264724",
            "telephone_number": "225-791-2020",
            "fax_number": "225-791-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTO",
        "first_name": "AMY",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1993DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.