Optical West Inc
Organization Active NPI Clinic/Center · West Monroe, LA
NPI 1992854111 · NPPES record last updated Apr 2, 2012
Key facts
- NPI
- 1992854111
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- OPTICAL WEST INC
- Practice address
- 1110 North 7TH
West Monroe, LA 71291 - Phone
- (318) 387-4388
- Fax
- (318) 387-4343
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Benjamin Steven Dillingham
- Title
- President
- Phone
- (318) 387-4388
Practitioners 3
-
Hunter Chapman, O.D.
-
Frances Louise Davis, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930049865 | LA | DME Supplier - Optician |
9638298094 | Practice locations: West Monroe, LA |
| O20240426002847 | LA | Part B Supplier - Clinic/Group Practice | 9638298094 |
Receives reassigned benefits from 1 practitioner Practice locations: West Monroe, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician |
156FX1800X | |||
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1110 North 7TH
West Monroe, LA 71291
Mailing address
1110 North 7TH
West Monroe, LA 71291
Phone (318) 387-4388
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1343544 | Medicaid | LA |
Other names
- Dillingham Optical West Inc
Other providers in West Monroe, LA
- Ochsner Clinic LLC
- Anna Sikes Oden
- Baylea Ogden
- Larry T Olinde
- One Source Medical Management, Inc.
- Optimum Behavioral Health & Wellness LLC
- Orthopaedic Clinic of Monroe
- Jamie Osbon-McCullars
- Grace Ossman
- Tina Denise Otwell
All providers in West Monroe, LA · Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.