Evangeline Optical Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EVANGELINE OPTICAL INC.

Practice address

306A N Lewis St
New Iberia, LA 70563-2843

Phone

(337) 365-4893

Fax

(337) 365-4894

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tim Hoffpauir

Title

Owner

Phone

(337) 365-4893

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1962564351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306A N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632843",
            "telephone_number": "337-365-4893",
            "fax_number": "337-365-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306A N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632843",
            "telephone_number": "337-365-4893",
            "fax_number": "337-365-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELINE OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "HOFFPAUIR",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-365-4893",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1128902",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Eyewear Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.