Individual provider Active NPI

Jimmy N Eaton, O.D.

  • Optometrist
  • Ruston, LA
National Provider Identifier
1942380985
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
887-122T Issued in LA
Practice address
911 Tech Dr
Ruston, LA 71270-0701
Phone
(318) 251-9095
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 887-122T LA Primary

Addresses

Primary practice location

911 Tech Dr
Ruston, LA 71270-0701

Mailing address

911 Tech Dr
Ruston, LA 71270-0701
Phone (318) 251-9095

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
I20110104001097 LA Practitioner - Optometry 9931398195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph E Humble and Raymond Haik PTRSGroup PAC ID 8224092176, 19 clinicians
Vision Associates IncGroup PAC ID 9537227640, 2 clinicians

Practice addresses (Care Compare)

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

911 Tech Dr
Ruston, LA 71270-0701
Phone (318) 251-9095

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
887LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Associates Inc Optometrist CurrentSince Aug 5, 1991 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Optometrist CurrentSince Sep 11, 1998 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 11, 1998 Accepting new patients
Anders Eye Care LLC Optometrist Past Accepting new patients

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

911 Tech Dr
Ruston, LA 71270
Phone (318) 251-9095

2314 Common Ct
Ste 23
Ruston, LA 71270
Phone (318) 232-6552

108 Regency Pl
West Monroe, LA 71291
Phone (318) 325-2610

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Interoperability endpoints

  • Direct secure messaging: eaton@hhec1211.srs-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1942380985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 TECH DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712700701",
            "telephone_number": "318-251-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 TECH DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712700701",
            "telephone_number": "318-251-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "JIMMY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "887-122T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.