Individual provider Active NPI

Ashley Bradford, O.D.

  • Optometrist
  • Haughton, LA
National Provider Identifier
1891008603
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1586-619T Issued in LA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101204000010 LA Practitioner - Optometry 2769679695 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1586-619TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Haughton Vision, LLC Optometrist CurrentSince Jul 17, 2012 Accepting new patients
Look Eyecare LLC Optometrist PastSince Jan 1, 2023 Accepting new patients
Reliable Eyecare LLC Optometrist PastSince Aug 16, 2026 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.

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

Verify at the official NPI Registry.