| Jared Mark Vincent, MD | |
|
400 E Vaughn Ave, Ruston, LA 71270-5951 | |
| (318) 251-0620 | |
| (318) 251-0621 |
| Full Name | Jared Mark Vincent |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 26 Years |
| Location | 400 E Vaughn Ave, Ruston, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639167836 | NPI | - | NPPES |
| 208916544 | Other | LA | FEDERAL TAX IDENTIFICATION NUMBER |
| 5CY25 | Other | LA | MEDICARE GROUP |
| 1619189362 | Other | LA | GROUP NPI |
| 1578967 | Medicaid | LA | |
| 1639167836 | Other | LA | PROVIDER INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 025302 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital & Clinics | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lsuhn Billing Llc | 0446337802 | 188 |
| Eyecare Providers, Llc | 2567359318 | 14 |
| Heitmeier Physicians Optical | 8820234149 | 6 |
| Entity Name | Administrators Of The Tulane Educational Fund |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528014164 PECOS PAC ID: 0446163760 Enrollment ID: O20031201000636 |
| Entity Name | Eyecare Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477628154 PECOS PAC ID: 2567359318 Enrollment ID: O20040304000481 |
| Entity Name | Lsuhn Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
| Entity Name | Heitmeier Physicians Optical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114270444 PECOS PAC ID: 8820234149 Enrollment ID: O20130411000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Mark Vincent, MD 400 E Vaughn Ave, Ruston, LA 71270-5951 Ph: (318) 251-0620 | Jared Mark Vincent, MD 400 E Vaughn Ave, Ruston, LA 71270-5951 Ph: (318) 251-0620 |
Darryl L Johnson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 400 East Vaughn Ave, Ruston, LA 71270 Phone: 318-251-0620 Fax: 318-251-0621 | |
Kristina Moore Stanfield, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 Fax: 318-255-5911 | |
Mr. Gary Luffey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Farmerville St, Ruston, LA 71270 Phone: 318-255-3690 |