The Visual Difference LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1285-436T Issued in LA

Legal business name

THE VISUAL DIFFERENCE LLC

Practice address

303 N Trenton St
Ruston, LA 71270-3805

Phone

(318) 202-5845

Fax

(318) 202-5847

NPI assigned

Oct 25, 2006

Last updated

Apr 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Ann Floyd, O.D.NPI 1174565295

Title

Optometrist

Phone

(318) 202-5845

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ann Floyd, OD

  • Vision Therapy Optometrist
  • Ruston, LA
  • NPI 1174565295
  Medicare reassignment NPD Authorized official
• Edward G Gilcrease

  • Optometrist
  • Ruston, LA
  • NPI 1063557551
  NPD (past)
• Namra Tanveer, O.D.

  • Optometrist
  • Forestville, MD
  • NPI 1205601317
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1891879821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703805",
            "telephone_number": "318-202-5845",
            "fax_number": "318-202-5847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703805",
            "telephone_number": "318-202-5845",
            "fax_number": "318-202-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VISUAL DIFFERENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "318-202-5845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "LA",
            "license": "1285-436T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1431362",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "438255775C",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aabu Alex Thomas, M.D.

• Vision Therapy Optometrist in Ruston, LA
• Providers in Ruston, LA by specialty
• Vision Therapy Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.