BOSSIER EYE INSTITUTE LLC
NPI 1104947589
Ophthalmology in Bossier City, LA
About Bossier Eye Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOSSIER EYE INSTITUTE LLC (NPI 1104947589) is a healthcare organization registered as an ophthalmology in Bossier City, Louisiana and active in the NPI registry since April 2007. The organization lists Wally Nawas, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bossier Eye Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bossier Eye Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Bossier City, LA 71111
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bossier Eye Institute LLC's NPI number?
The NPI number for Bossier Eye Institute LLC is 1104947589. It was assigned to this organization in the NPPES registry on April 3, 2007.
Where is Bossier Eye Institute LLC located?
Bossier Eye Institute LLC is located at 2300 Hospital Dr Suite 140, Bossier City, LA 71111. The listed phone number is (318) 746-2020.
What is Bossier Eye Institute LLC's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Bossier Eye Institute LLC enrolled in Medicare?
Yes. Bossier Eye Institute LLC is registered in the Medicare PECOS enrollment system.
When is Bossier Eye Institute LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bossier Eye Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bossier Eye Institute LLC, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bossier Eye Institute LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Bossier Eye Institute LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bossier Eye Institute LLC was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bossier Eye Institute Llc · NPI 1104947589
Ophthalmology organization in Bossier City, Louisiana. Organization record, active in the CMS NPPES registry since April 3, 2007.
## Identity
- **NPI:** 1104947589 (Entity type: Organization)
- **Enumerated:** April 3, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Wally Nawas, OWNER
## Practice location
- **Address:** 2300 HOSPITAL DR, SUITE 140, Bossier City, LA 71111-2394
- **Phone:** (318) 746-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (1), Optometry (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2009
- **Other identifiers:** Medicaid 1423351 (LA); Medicare UPIN I12746 (LA); Medicare PIN 5CK25 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1104947589) · Data from the CMS NPPES public registry.