Active NPI
Durward Jones Thomas, O.D.
- Optometrist
- Coushatta, LA
National Provider Identifier
1891763207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 873063T
- Practice address
- 1902 Ringgold Ave
Coushatta, LA 71019-9089 - Phone
- (318) 932-5671
- Fax
- (318) 932-5671
- NPI assigned
- Mar 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 873063T | LA | Primary |
Addresses
Primary practice location
1902 Ringgold Ave
Coushatta, LA 71019-9089
Mailing address
1902 Ringgold Ave
P.O. Box 323
Coushatta, LA 71019-9089
Phone (318) 932-5671
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050513000217 | LA | Practitioner - Optometry | 5193766707 | Practice locations: Coushatta, LA; Ringgold, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 873 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1891763207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 RINGGOLD AVE",
"address_2": "P.O. BOX 323",
"city": "COUSHATTA",
"state": "LA",
"postal_code": "710199089",
"telephone_number": "318-932-5671",
"fax_number": "318-932-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 RINGGOLD AVE",
"city": "COUSHATTA",
"state": "LA",
"postal_code": "710199089",
"telephone_number": "318-932-5671",
"fax_number": "318-932-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DURWARD",
"middle_name": "JONES",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "873063T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coushatta, LA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.