Joe M. Gannon, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

10553R Issued in LA

Practice address

607 Rue de Brille
New Iberia, LA 70563-2169

Phone

(337) 367-1247

Fax

(337) 365-7496

NPI assigned

Jun 14, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in New Orleans, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexandria Eye and Laser Center LLCGroup PAC ID 4789641010, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.92 of 100Reported as group

Quality

78.04

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15785/brand/1/csg/1/fhir/r4
• Direct secure messaging: jgannonmd@laeye.emadirect.md
• Direct secure messaging: jgannon@gannon.intellechartdirect.net

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.

• Alexandria Eye and Laser Center, LLC

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1538120985
  Medicare reassignment Care Compare group NPD
• Leoni 2Med LLC

  • Ophthalmology Physician
  • Lafayette, LA
  • NPI 1184812414
  Medicare reassignment NPD
• Lsuhn Billing LLC

  • Multi-Specialty Clinic/Center
  • Lafayette, LA
  • NPI 1992975775
  Medicare reassignment NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Gonzales, LA
  • NPI 1699812909
  Medicare reassignment NPD
• Alexandria Eye and Laser Center, LLC

  • Eyewear Supplier
  • Oakdale, LA
  • NPI 1063285260
  NPD
• Lsuhn Billing LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Baton Rouge, LA
  • NPI 1306247556
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Saint Francisville, LA
  • NPI 1487495131
  NPD
• Williamson Eye Center

  • Ophthalmology Physician
  • Denham Springs, LA
  • NPI 1841295813
  NPD
• Welch Eye Center

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1215978309
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1992700256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 KAROLWOOD DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033505",
            "telephone_number": "225-718-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 RUE DE BRILLE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632169",
            "telephone_number": "337-367-1247",
            "fax_number": "337-365-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "JOE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "10553R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655091",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Michael Fuselier, MD
• Marella Mae Fuselier, LAC
• Constance Erin Gaar, FNP
• Tiffany Ralet Gaines, SLP
• Gannon Medical Services, LLC
• Jesus Rene Garcia, MD
• Kirston Gardner
• Jake M Gary, DC
• Wayne J Gary II, D.D.S.
• Nicole Latour Gaspard, RD

• Ophthalmology Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Ophthalmology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.