Individual provider Active NPI

Alayna Jordan Brown, OD

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1972213197
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1978-924AT Issued in LA
Practice address
5615B Jackson St
Alexandria, LA 71303-2275
Phone
(318) 442-7787
Fax
(318) 443-1654
NPI assigned
Nov 29, 2022
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1978-924AT LA Primary
Optician 156FX1800X

Addresses

Primary practice location

5615B Jackson St
Alexandria, LA 71303-2275

Mailing address

5615B Jackson St Ext Ste B
Alexandria, LA 71303-2275
Phone (318) 442-7787

Other practice location 1

5504 Shreveport Hwy
Pineville, LA 71360-3534
Phone (318) 640-3309

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
I20230830000532 LA Practitioner - Optometry 4880057462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5615 Jackson St
Suite 101
Alexandria, LA 71303-2326
Phone (318) 442-7787

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1978-924ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Vision Source, LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Vision Source Alexandria LLC Optometrist CurrentSince Jun 25, 2023 Accepting new patients

Locations

5615 Jackson St
#101
Alexandria, LA 71303
Phone (318) 442-7787

5615 Jackson Street Ext
#101B
Alexandria, LA 71303

5615B Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-7787

5615B Jackson Street Ext
Ste B
Alexandria, LA 71303

5504 Shreveport Hwy
Pineville, LA 71360
Phone (318) 442-7787

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": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1972213197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615B JACKSON ST EXT STE B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032275",
            "telephone_number": "318-442-7787",
            "fax_number": "318-443-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615B JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032275",
            "telephone_number": "318-442-7787",
            "fax_number": "318-443-1654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5504 Shreveport Hwy",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713603534",
            "country_code": "US",
            "telephone_number": "318-640-3309",
            "fax_number": "318-640-3310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALAYNA",
        "middle_name": "JORDAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1978-924AT",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.