Individual provider Active NPI

Anita Lorraine Blanchard, OD

  • Optometrist
  • Franklinton, LA
National Provider Identifier
1962636407
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1580-613T Issued in LA
Practice address
803 Riverside Drive
Franklinton, LA 70438
Phone
(985) 839-5633
Fax
(985) 467-4218
NPI assigned
May 13, 2009
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1580-613T LA Primary

Addresses

Primary practice location

803 Riverside Drive
Franklinton, LA 70438

Mailing address

803 Riverside Drive
Franklinton, LA 70438
Phone (985) 839-5633

Other identifiers 2

IdentifierTypeStateIssuer
2125061OtherLAMEDICARE
4R167MedicaidLA

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
I20100913000627 LA Practitioner - Optometry 3274658331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McComiskey and Cangelosi II, L.L.C.Group PAC ID 0446261705, 3 clinicians
Blanchard Eye Care, LLCGroup PAC ID 7810330800, 2 clinicians

Practice addresses (Care Compare)

604 W 13TH Ave
Covington, LA 70433-3308
Phone (985) 871-0070

803 Riverside Dr
Franklinton, LA 70438-3635
Phone (985) 839-5633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McComiskey & Vallelungo, L.L.C. CurrentSince Dec 13, 2023 Accepting new patients
Blanchard Eye Care, LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

604 W 13th Ave
Covington, LA 70433
Phone (504) 893-7034

803 Riverside Dr
Franklinton, LA 70438
Phone (985) 839-5633

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1962636407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 RIVERSIDE DRIVE",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "70438",
            "telephone_number": "985-839-5633",
            "fax_number": "985-467-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 RIVERSIDE DRIVE",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "70438",
            "telephone_number": "985-839-5633",
            "fax_number": "985-467-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "ANITA",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1580-613T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2125061",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4R167",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

Verify at the official NPI Registry.