Active NPI
Paradise Optical & Gifts LLC
- Eyewear Supplier
- Lake Charles, LA
National Provider Identifier
1952543076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 12137R
- Legal business name
- PARADISE OPTICAL & GIFTS LLC
- Practice address
- 1980 Tybee St
Lake Charles, LA 70605-4173 - Phone
- (337) 477-0963
- Fax
- (337) 477-1912
- NPI assigned
- Apr 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald C. Falgoust, M.D.
- Title
- Physician/Owner
- Phone
- (337) 477-0963
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 12137R | LA | Primary |
Addresses
Primary practice location
1980 Tybee St
Lake Charles, LA 70605-4173
Mailing address
PO Box 4765
Lake Charles, LA 70606-4765
Phone (337) 477-0963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111229000041 | LA | DME Supplier - Physician - General Practice | 5092981811 | Practice locations: Lake Charles, LA |
National Provider Directory
National Provider Directory- Tax ID family
- Paradise Optical Gifts
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Lake Charles, LA
- NPI 1326244880
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Lake Charles, LA
- NPI 1538168323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1952543076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4765",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706064765",
"telephone_number": "337-477-0963",
"fax_number": "337-477-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 TYBEE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706054173",
"telephone_number": "337-477-0963",
"fax_number": "337-477-1912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE OPTICAL & GIFTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-03",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "FALGOUST",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "337-477-0963",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "LA",
"license": "12137R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.