Individual provider Active NPI

Christopher Wayne Wroten, O.D.

  • Optometrist
  • Hammond, LA
National Provider Identifier
1902919913
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1400-536T Issued in LA
Practice address
1705 S Morrison Blvd
Hammond, LA 70403-5737
Phone
(985) 345-2020
Fax
(985) 345-2430
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1400-536T LA Primary

Addresses

Primary practice location

1705 S Morrison Blvd
Hammond, LA 70403-5737

Mailing address

1705 S Morrison Blvd
Hammond, LA 70403-5737
Phone (985) 345-2020

Other identifiers 1

IdentifierTypeStateIssuer
1737666MedicaidLA

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
I20050613000025 LA Practitioner - Optometry 4789628660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Louisiana Professional PCGroup PAC ID 5799219515, 9 clinicians
Bond Wroten Eye ClinicGroup PAC ID 1456337708, 6 clinicians

Practice addresses (Care Compare)

1705 S Morrison Blvd
Hammond, LA 70403-5737
Phone (985) 345-2020

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1400-536TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bond Wroten Eye Clinic Optometrist CurrentSince Jul 1, 2005 Accepting new patients
Aeg Louisiana Professional PC Optometrist CurrentSince Sep 17, 2024 Accepting new patients

Locations

60007 W Way Dr
Amite, LA 70422
Phone (985) 748-8096

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

1705 S Morrison Blvd
Hammond, LA 70403
Phone (225) 523-7624

Organizations & group practices 2

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1902919913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035737",
            "telephone_number": "985-345-2020",
            "fax_number": "985-345-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S MORRISON BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035737",
            "telephone_number": "985-345-2020",
            "fax_number": "985-345-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROTEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAYNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1400-536T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1737666",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.