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NPI 1386044808ActiveOrganization· Optometrist· Shreveport, LA

Optometrist in Shreveport, Louisiana, registered in NPPES in September 2014. The authorized official on file is Verle Judd, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1386044808
StatusActive
Entity typeOrganization
NPI issuedSep 3, 2014
Last updated in NPPESJan 19, 2026
Certified by providerJan 19, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1775-709TLA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (LA)

Medicare sources and data years

Other Optometrist providers in Shreveport

All Optometrist providers in Louisiana →