Active NPI
Ashley Bradford, O.D.
- Optometrist
- Haughton, LA
National Provider Identifier
1891008603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1586-619T
- Practice address
- 4615 Highway 80
Suite #7
Haughton, LA 71037-7441 - Phone
- (318) 949-6085
- Fax
- (318) 949-6084
- NPI assigned
- Jul 21, 2010
- Last updated
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1586-619T | LA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1586-619T | LA |
Addresses
Primary practice location
4615 Highway 80
Suite #7
Haughton, LA 71037-7441
Mailing address
4010 Highway 80
Haughton, LA 71037-7441
Phone (318) 949-6085
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4010 Hwy 80
Haughton, LA 71037-9458
Phone (318) 949-6085
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1586-619T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haughton Vision, LLC | Optometrist | Current | Accepting new patients |
| Look Eyecare LLC | Optometrist | Past | Accepting new patients |
| Reliable Eyecare LLC | Optometrist | Past | Accepting new patients |
Locations
4010 Highway 80
Haughton, LA 71037
Phone (318) 949-6085
4615 Highway 80
Ste 7
Haughton, LA 71037
Phone (318) 949-6085
Organizations & group practices 3
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.
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- Shreveport, LA
- NPI 1043819378
-
- Optometrist
- Minden, LA
- NPI 1619296399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1891008603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 HIGHWAY 80",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710377441",
"telephone_number": "318-949-6085",
"fax_number": "318-949-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4615 HIGHWAY 80",
"address_2": "SUITE #7",
"city": "HAUGHTON",
"state": "LA",
"postal_code": "710377441",
"telephone_number": "318-949-6085",
"fax_number": "318-949-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1586-619T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "LA",
"license": "1586-619T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haughton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.