JARED MARK VINCENT (NPI# 1639167836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639167836 |
| Entity Type | Individual |
| Full Name | JARED MARK VINCENT |
| Credential | MD |
| Practice Address |
400 E Vaughn Ave Ruston LA 71270-5951 |
| Practice Telephone | 3182510620 |
| Practice Fax Number | 3182510621 |
| Mailing Telephone | 3182510620 |
| Mailing Fax Number | 3182510621 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 025302 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | GROUP NPI | 1619189362 | 01 |
| LA | PROVIDER INDIVIDUAL NPI | 1639167836 | 01 |
| LA | FEDERAL TAX IDENTIFICATION NUMBER | 208916544 | 01 |
| LA | 1578967 | 05 | |
| LA | MEDICARE GROUP | 5CY25 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515626 | Jared Blake Vincent | Durable Medical Equipment & Medical Supplies | 16845 Tortoise St, Round Rock, TX 78664-8604 | 2019-09-01 |
| Street Address |
400 E VAUGHN AVE |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-5951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619189362 | Jared Vincent Md Ruston Eye Institute LLC | Ophthalmology | 400 E Vaughn Ave, Ruston, LA 71270-5951 | 2007-05-04 |
| 1841387800 | Lynn Maxey Vincent | General Practice | 400 E Vaughn Ave, Ruston, LA 71270-5951 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598765661 | Darryl L Johnson | Ophthalmology | 400 East Vaughn Ave, Ruston, LA 71270 | 2005-07-29 |
| 1861653305 | Ruston Clinic Company LLC | Ophthalmology | 401 E Vaughn Ave, Suite 206, Ruston, LA 71270-5950 | 2008-06-18 |
| 1619189362 | Jared Vincent Md Ruston Eye Institute LLC | Ophthalmology | 400 E Vaughn Ave, Ruston, LA 71270-5951 | 2007-05-04 |
| 1760452650 | Gary Luffey | Ophthalmology | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943918 | Williamson Eye Center | Ophthalmology | 230 Roberts Dr Ste J, New Roads, LA 70760-2661 | 2020-05-14 |
| 1134687403 | Williamson Eye Center | Ophthalmology | 9001 Summa Ave Fl 2, Baton Rouge, LA 70809-3726 | 2019-03-06 |
| 1568948578 | Rodney F Kalil | Ophthalmology | 4812 Green Acres Ct, Metairie, LA 70003-1106 | 2018-07-12 |
| 1104323864 | Benjamin Lee | Ophthalmology | 533 Bolivar St Rm 459, New Orleans, LA 70112-1349 | 2018-04-10 |
| 1124526371 | Langhetee Eye Center LLC | Ophthalmology | 2201 Veterans Memorial Blvd Ste 402, Metairie, LA 70002-6326 | 2018-01-23 |
| 1043744196 | Aigerim B. Saulebayeva | Ophthalmology | 1501 Kings Hwy Bldg 1-201, Shreveport, LA 71103-4228 | 2017-04-16 |
| 1881126415 | Francisca Zuazo Echenique | Ophthalmology | 1430 Tulane Ave, Sl50, Department of Internal Medicine, New Orleans, LA 70112 | 2017-04-02 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1164886651 | James Andrew David | Ophthalmology | 533 Bolivar St Rm 451b, New Orleans, LA 70112-1349 | 2016-04-11 |
| 1891168761 | Highland Clinic, A Prof Med Corp | Ophthalmology | 1400 E Bert Koun Loop, #103, Shreveport, LA 71105-5603 | 2015-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.