WK Pierremont Eye Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WK PIERREMONT EYE INSTITUTE

Practice address

2611 Greenwood Rd
Shreveport, LA 71103-3907

Phone

(318) 212-6307

Fax

(318) 212-6334

NPI assigned

Jul 6, 2006

Last updated

Jun 8, 2012By 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

Greg J. Gavin

Title

Network Administrator

Phone

(318) 212-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Willis Knighton Medical Center, Inc.

  dba Home Health Departmant Willis Knighton Hospital Inc

  • Home Health Agency
  • Shreveport, LA
  • NPI 1326093782

  Member Of

  NPD member

Locations

Practitioners 13

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.

• Sean Adams, OD

  • Optometrist
  • Shreveport, LA
  • NPI 1659018133
  Medicare reassignment Care Compare group NPD
• Anthony James Barbiero, OD

  • Optometrist
  • Monroe, LA
  • NPI 1316564461
  Medicare reassignment Care Compare group NPD
• David D Bryan, MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1700848777
  Medicare reassignment Care Compare group NPD
• Kelli Coleman, MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1952864175
  Medicare reassignment Care Compare group NPD
• Wyche Taylor Coleman III

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1841491826
  Medicare reassignment Care Compare group NPD
• Stephen W Lewis, O.D.

  • Optometrist
  • Shreveport, LA
  • NPI 1336139518
  Medicare reassignment Care Compare group NPD
• Janusz Luka, O.D.

  • Optometrist
  • Shreveport, LA
  • NPI 1598732919
  Medicare reassignment Care Compare group NPD
• Christopher Lindon Shelby, MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1861424228
  Medicare reassignment Care Compare group NPD
• James Paul Swearingen Jr., MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1003878075
  Medicare reassignment Care Compare group NPD
• Margaret Ashley Wheat, MD

  • Ophthalmology Physician
  • Shreveport, LA
  • NPI 1427045814
  Medicare reassignment Care Compare group NPD
• Grant Thomas Slagle, DO

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1891371316

  LA

  Medicare reassignment Care Compare group NPD
• Sable Reynolds

  • Physician Assistant
  • Shreveport, LA
  • NPI 1902385974
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1932130192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033907",
            "telephone_number": "318-212-6307",
            "fax_number": "318-212-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 GREENWOOD RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033907",
            "telephone_number": "318-212-6307",
            "fax_number": "318-212-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK PIERREMONT EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504246",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WK Pierre Ave Community Health Education and Wellness Center
• WK Pierremont Associates in Internal Medicine
• WK Pierremont Cardiology
• WK Pierremont Endocrine Center
• WK Pierremont ENT
• WK Pierremont Family Physicians
• WK Pierremont Hospitalists
• WK Pierremont Internal Medicine Associates
• WK Pierremont Neurology Clinic
• WK Pierremont OB-GYN Specialists

• Ophthalmology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.