Individual provider Active NPI

Lewis Virgil Murray IV, M.D.

  • Ophthalmology Physician
  • Lake Charles, LA
National Provider Identifier
1922298488
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.200341 Issued in LA
Practice address
1717 Oak Park Blvd
Suite 1
Lake Charles, LA 70601-8991
Phone
(337) 478-3810
Fax
(337) 478-6360
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD.200341 LA Primary

Addresses

Primary practice location

1717 Oak Park Blvd
Suite 1
Lake Charles, LA 70601-8991

Mailing address

1717 Oak Park Blvd
Suite 1
Lake Charles, LA 70601-8991
Phone (337) 478-3810

Other identifiers 2

IdentifierTypeStateIssuer
35218OtherLABOARD OF PHARMACY CDS
1067644MedicaidLA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080725000148 LA Practitioner - Ophthalmology 5597838466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic a Professional Medical CorpGroup PAC ID 0941101307, 13 clinicians
Lsuhn Billing LLCGroup PAC ID 0446337802, 203 clinicians

Practice addresses (Care Compare)

1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 478-3810

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
91.1
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.200341LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic a Professional Medical Corp. Ophthalmology CurrentSince Jul 15, 2008 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2009 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2009 Accepting new patients
Optics Unlimited Inc Ophthalmology PastSince Mar 14, 2018 Accepting new patients

Locations

801 S Pine St
Deridder, LA 70634
Phone (337) 462-0908

1322 Elton Rd
Ste J
Jennings, LA 70546
Phone (337) 824-0040

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

401 Saint Julien Ave
Lafayette, LA 70506
Phone (337) 261-6000

2800 1st Ave
Ste C
Lake Charles, LA 70601
Phone (337) 439-1737

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

1767 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 478-3810

2800 1st Ave
Ste A
Lake Charles, LA 70601
Phone (337) 310-0767

277 N Highway 171
Ste 4
Lake Charles, LA 70611
Phone (337) 310-0775

720 Cypress St
Sulphur, LA 70663
Phone (337) 625-8948

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922298488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD",
            "address_2": "SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018991",
            "telephone_number": "337-478-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD",
            "address_2": "SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018991",
            "telephone_number": "337-478-3810",
            "fax_number": "337-478-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LEWIS",
        "middle_name": "VIRGIL",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.200341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY CDS",
            "identifier": "35218",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1067644",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.